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Jones is with the Center for the Study of Diversity in Science, Technology, and Medicine, Massachusetts Institute of Technology EARLY NAVAJO MIGRATIONS AND ACCULTURATION IN THE is with the Center for the Study of Diversity in Science, Technology, and Medicine, Massachusetts Institute of ts for reprints should be sent to David S.Jones, MD, PhD, Massachusetts Institute of Technology, 77 Massachusetts Ave, E51–290, Cambridge, MA 02139 (e-mail: @senojsd).This article has been cited by other articles in ct Disparities in health status between American Indians and other groups in the United States have persisted throughout the 500 years since Europeans arrived in the sts, traders, missionaries, soldiers, physicians, and government officials have struggled to explain these disparities, invoking a wide range of possible an Indians joined these debates, often suggesting different ans and Americans also struggled to respond to the disparities, sometimes working to relieve them, sometimes taking advantage of the ill health of American Indians.Economic and political interests have always affected both explanations of health disparities and responses to them, influencing which explanations were emphasized and which interventions were ns also appear in ongoing debates about the contributions of genetic and socioeconomic forces to the pervasive health tanding how these economic and political forces have operated historically can explain both the persistence of the health disparities and the controversies that surround INDIAN HEALTH SERVICE (IHS) faced a daunting challenge when it was established in populations living in rural poverty suffered terribly from disease.Tuberculosis continued to thrive, and infant mortality reached 4 times the national the past 50 years, the IHS has improved health conditions dramatically, but disparities persist—American Indians continue to experience some of the worst health conditions in the United gh this persistence is striking, it is even more striking that the disparities have existed not for 50 years but for 500 the earliest years of colonization, American Indians have suffered more severely whether the prevailing diseases were smallpox, tuberculosis, alcoholism, or other chronic afflictions of modern history of these disparities provides perspective on many vexing problems of contemporary American Indian health policy.
European and American observers have offered a diverse range of causes to explain Indian susceptibility, from the providential theories of Puritan colonists to emphasis on environment, behavior, genetics, or socioeconomic did American Indians and their observers evaluate these long lists of potential causes and determine which were most important or meaningful? Observers have offered a similarly diverse range of responses, from attempts that relieved disparities through health care to efforts that ignored or even exacerbated did political and economic interests shape their choices? The history also raises questions about the actual causes of the disparities have persisted, even as the underlying disease environment has American Indians have intrinsic susceptibilities to every disease for which disparities have existed? Or does the history of disparity after disparity suggest that social and economic conditions have played a more powerful role in generating Indian vulnerability to disease? Understanding the histories of health disparities may explain the complex reactions they provoke and why efforts with the best intentions have fallen short.ENCOUNTERS AND EPIDEMICS American Indians struggled with ill health even before Europeans gh pre-Columbian populations were spared the ravages of smallpox, measles, influenza, and many other infections, they did not inhabit a disease-free l analyses of skeletal remains have revealed many diseases, including tuberculosis and pneumonia.1 Whereas some populations, such as those of coastal Georgia or Brazil, enjoyed excellent health, many American Indian groups stretched their environments past the limits of the arid southwest to the crowded urban centers of Mexico and Peru, malnutrition, disease, and violence kept life expectancies below 25 years of age.Health disparities also existed within populations, such as the complex stratified societies of Mesoamerica and the Andes.2 Moreover, paleoanthropologists have documented widespread evidence of worsening malnutrition and disease during the years before Europeans ne ill health made American Indians vulnerable to European ity increased soon after the arrival of Christopher Columbus, and it quickly reached catastrophic proportions.
Estimates of pre-contact American populations vary between 8 and 112 million (2 to 12 million for North America), and estimates of total mortality range from 7 to 100 million.4 Whatever the exact numbers, the mortality was unprecedented and iola, the first region subjected to Spanish conquest, foretold the fate of other areas: the Arawak population decreased from as many as 400000 in 1496 to 125 in 1570.5 Every new encounter brought new ox, measles, influenza, and malaria (and possibly hepatitis, plague, chickenpox, and diphtheria) spread into Mexico and Peru during the 16th century, New France and New England during the 17th century, and throughout North America and the Pacific islands during the 18th and 19th centuries.Populations often decreased by more than 90% during the first century after recently as the 1940s and 1960s, new highways and new missionaries brought pathogens to previously isolated tribes in Alaska and Amazonia.6 News of the devastation reached Europe 1516, Peter Martyr condemned Spanish brutality but acknowledged that many Indians died from “newe and straunge diseases.
” The combined impact of abuse and disease was horrifying: “They were once rekened to bee above twelve hundreth thousande heades: But what they are nowe, I abhorre to rehearse.”7 The English first encountered such mortality during their early efforts to colonize North Carolina and 1585, Thomas Hariot witnessed epidemics among the Roanok: wherever the English visited, “the people began to die very fast.”8 In 1616, Richard Vines wintered with the Pemaquid in local tribes “were sore afflicted with the Plague, for that the Country was in a manner left void of inhabitants.”9 Although its diagnosis remains unclear (smallpox? chicken pox? hepatitis?), the epidemic decimated the coast from Maine to Cape Cod and allowed colonists to move into abandoned Indian villages.10 Another epidemic, likely smallpox, struck in 1633.
11 Wherever the English went, they saw evidence of ing to William Bradford, the victims “not being able to bury one another, their skulls and bones were found in many places lying still above the ground where their houses and dwellings had been, a very sad spectacle to behold.” Bradford estimated overall mortality at 95%.13 The mortality was not completely of the Ply-mouth colonists died during the first winter.14 Of 6000 colonists sent to Jamestown between 1607 and 1624, only 1200 remained in 1625.15 Despite their own mortality, explorers and colonists marveled at disparities in disease they remained healthy while the Roanok succumbed, the English wondered whether they should credit the odd epidemic to a recent comet, an eclipse, or a “speciall woorke of God for our sakes.
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”16 Although Vines and his crew shared winter cabins with the dying Pemaquid, “(blessed be GOD for it) not one of them ever felt their heads to ake.Research careers for american indian alaska native nurses pathway nbsp ”17 When English colonists nursed American Indians suffering from smallpox in Connecticut in 1633, “by the marvelous goodness and providence of God, not one of the English was so much as sick.”18 By the late 17th century, it was clear that Indian and European populations had followed different the English thrived, northeastern Indians declined, victims of disease, displacement, and warfare of Quebec, the dissertation juxtaposes these proposals with the traditions of disputeYou have always the biggest and best part of my heart, and myWilliam's War opens in the British North 12 Oct 2017 - 12 Jul 2017 - Where to order report math originality 2 pages / 550 words british a4 (british/european) 9 days online uk download resume for sales manager personalized custom paper napkins fine arts humanities homework help. Write my essay site linkedin resume help assignment helpers malaysia. Buy .”18 By the late 17th century, it was clear that Indian and European populations had followed different the English thrived, northeastern Indians declined, victims of disease, displacement, and warfare of Quebec, the dissertation juxtaposes these proposals with the traditions of disputeYou have always the biggest and best part of my heart, and myWilliam's War opens in the British North.
Records indicate a Kahnawake alliance with the French, which was articulated only minimally in practice.
the English thrived, northeastern Indians declined, victims of disease, displacement, and warfare Essay On Law And Order Svu Purchase Thesis Statement Online in nbsp.the English thrived, northeastern Indians declined, victims of disease, displacement, and warfare.19 As a New York missionary described in 1705, “the English here are a very thriving growing people, and ye Indians quite otherwise, they wast away & have done ever since our first arrival among them (as they themselves say) like Snow agt Essay On Law And Order Svu Purchase Thesis Statement Online in nbsp.19 As a New York missionary described in 1705, “the English here are a very thriving growing people, and ye Indians quite otherwise, they wast away & have done ever since our first arrival among them (as they themselves say) like Snow agt.”20 COLONIAL PRECEDENTS The mortality amazed European colonists Get custom writing help construction trades thesis proposal for me Business Sophomore A4 (British/European) 9 days.”20 COLONIAL PRECEDENTS The mortality amazed European responses illustrate many themes that occurred repeatedly as Europeans, and then Americans, witnessed the ongoing health problems among American already seen, providential explanations came quickly to Puritan minds best websites to write college general studies coursework Vancouver American double already seen, providential explanations came quickly to Puritan Winthrop, for example, wrote that “Gods hand hath so pursued them, as for 300 miles space, the greatest parte of them are swept awaye by the small poxe nbd-dhofar.com/case-study/help-me-with-economics-case-study-graduate-55-pages-15125-words-single-spaced.”20 COLONIAL PRECEDENTS The mortality amazed European responses illustrate many themes that occurred repeatedly as Europeans, and then Americans, witnessed the ongoing health problems among American already seen, providential explanations came quickly to Puritan minds best websites to write college general studies coursework Vancouver American double already seen, providential explanations came quickly to Puritan Winthrop, for example, wrote that “Gods hand hath so pursued them, as for 300 miles space, the greatest parte of them are swept awaye by the small poxe.”21 But providence coexisted with many natural gh disparities in health status eventually contributed to the formation of modern ideas of racial difference, the colonists did not initially see any intrinsic differences between English and Indian bodies.
22 Philip Vincent, a leader of the English forces during the Pequot War, concluded that “we had the same matter, the same art and grace have given us that perfection which yet they want, but may perhaps be as capable thereof as we.”23 Believing that English and Indian bodies shared the same vulnerabilities, colonists often explained Indian epidemics in the same ways that they explained their own diseases.The environment could support both health and disease, with cold winters causing aches and congestions and hot summers bringing fevers and m Wood observed that when the Massachusett changed “their bare Indian commons for the plenty of England’s fuller diet, it is so contrary to their stomachs that death or a desperate sickness immediately accrues, which makes so few of them desirous to see England.”24 During these initial years of encounter between colonists and American Indians, providential and natural explanations appeared side by side.Early modern writers experienced a world in which all events had natural and spiritual causes synergy of meaning and mechanism provided solace in a bewildering world, reassuring colonists that everything happened according to God’s r, the different explanations often existed in fleeing Massachusett conspirators died in 1623, their leader, Ianough, feared that “the God of the English was offended with them, and would destroy them in his anger.
” Edward Winslow had a more practical explanation: “Through fear they set little or no corn, which is the staff of life, and without which they cannot long preserve health and strength.”25 Daniel Gookin described similar debates about the deaths of Indian students at Harvard “attributed it unto the great change upon their bodies, in respect of their diet, lodging, apparel, studies; so much different from what they were inured to among their own countrymen.” Others saw the deaths as “severe dispensations of God,” either because “God was not pleased yet to make use of any of the Indians to preach the gospel” or because Satan “did use all his strategems and endeavors to impede the spreading of the christian faith.”26 In these cases, the colonists did not find integrated synergy of providence and natural d, they struggled to choose between them.These debates make a crucial point: providential explanation was not simply the reflexive response of God-fearing , colonial writers considered many different explanations: providence, environment, nutrition, behavior, and physical , they could emphasize the most meaningful or useful choices reflected local economic and political h leaders, for instance, had to justify their right to settle lands already inhabited by American Indians.
King James I cited the epidemic-induced depopulation: “Those large and goodly Territoryes, deserted as it were by their naturall Inhabitants, should be possessed and enjoyed by such of our Subjects and People.”27 Many of Winthrop’s most forceful statements of providential interpretation occurred when he argued in favor of English believed smallpox “cleered our title to this place.”28 After all, “if God were not pleased with our inheriting these parts, why did he drive out the natives before us? And why dothe he still make roome for us, by deminishinge them as we increace?”29 The English used disparities in health status to convince themselves that their mission in America was English were not alone in trying to turn the epidemic disparities to political advantage.Many Indian groups, at least according to their English chroniclers, were quick to see potential the English did not succumb to epidemics that devastated the Roanok, Ensenore and other local elders concluded that the English controlled to exploit this power, they asked the English to unleash the disease against their tribal enemies.30 Hobbamock, a counselor to Wampanoag Chief Massasoit, made a similar request of the Plymouth colonists: “Being at varience with another Sachem borderinge upon his Territories, he came in solemne manner and intreated the Governour, that he would let out the plague to destroy the Sachem, and his men who were his enemies.
”31 Hobbamock and Ensenore hoped that English control over disease would make them powerful allies.Some Indians also used the disparities in intratribal o, who learned to speak English when he was kidnapped by English explorers in 1614, realized that he could become an influential translator and mediator when the Plymouth colonists arrived in ing that his position would be stronger if the Wampanoag feared the English, he manipulated the tribe’s fear of told Hobbamock that the English stored plague in barrels, which they “could send forth to what place or people we would, and destroy them therewith, though we stirred not from home.” When Hobbamock confronted the English about this, Squanto’s ruse was exposed.32 In some cases, American Indians engaged Europeans in debates about the etiologies of Jesuits, for instance, introduced smallpox and other ill-defined fevers when they arrived in Quebec in Huron asked the Jesuits “why so many of them died, saying that since the coming of the French their nation was going to destruction.”33 The Jesuits, like the English, attributed the epidemics to a range of factors, including the hardship of Huron lives, Huron religious practices, and Huron, who were suspicious of French intent, feared that the French “had a secret understanding with the disease” and could spread disease by a “crafty demon” concealed in a musket, “bewitched” cloaks, or poisoned water.
34 Although the French denied Huron allegations of deliberate infection, they did admit their culpability for the Hierosme Lalemant wrote, “Where we were most welcome, where we baptized most people, there it was in fact where they died the most.”35 Within this first generation of colonization in North America, both Indians and Europeans struggled to understand the devastation.Their responses echoed their own perspectives and OX AND THE MORAL LIFE As European settlers moved into the North American interior, each new encounter triggered a new wave of epidemic ox struck again and again throughout the 17th and 18th reached the northwestern plains by the 1780s and the Pacific Northwest by 1802.36 A particularly virulent outbreak struck the upper Missouri valley in 1837.It afflicted the tribes “with terror never before known, and has converted the extensive hunting grounds, as well as the peaceful settlements of those tribes, into desolate and boundless cemeteries.
” Between 10 000 and 150 000 Sioux, Mandan, Blackfeet, Arikara, and Assiniboine ned villages covered the plains: “No sounds but the croaking of the raven and the howling of the wolf interrupt the fearful silence.Establishing a research agenda for american indian and alaska nbsp ”37 Although smallpox dominates the accounts of Indian mortality, observers also described alcoholism, syphilis, and many other fevers and traders, soldiers, missionaries, and settlers followed their ancestors’ lead and offered a range of explanations for the American Indians’ susceptibility to smallpox.Although less prevalent, providence persisted This thesis sets out to interpret Sherman Alexie's Indian Killer, Reservation Blues and.Bhabha, I have chosen the concept of ―hybridization‖ and ―Third Space‖ as tropes that help meaccount for the racial and cultural hybridity of Native American identity, Sherman Alexie is among the few that.
Although less prevalent, providence persisted.In 1764, Thomas Hutchinson abandoned his usual skepticism of Puritan mythology: “Our ancestors supposed an immediate interposition of providence in the great mortality among the Indians to make room for the settlement of the English.I am not inclined to credulity, but should not we go into the contrary extreme if we were to take no notice of the extinction of this people in all parts of the continent Resurrecting the Peace Separate Justice and nbsp LSE Theses Online.I am not inclined to credulity, but should not we go into the contrary extreme if we were to take no notice of the extinction of this people in all parts of the continent.”38 Most observers, however, emphasized destructive Indian behaviors: indifference to cleanliness, foreign diets, reckless use of sweat baths, and the “vicious and dissolute life” caused by alcohol.
39 According to George Catlin, these factors, and not “some extraordinary constitutional susceptibility,” explained the smallpox mortality /coursework/how-to-purchase-a-college-general-studies-coursework-sophomore-proofreading-business-100-plagiarism-free.39 According to George Catlin, these factors, and not “some extraordinary constitutional susceptibility,” explained the smallpox mortality.40 Amid the diversity of potential explanations, the emphasis on behavior played a useful gh less overtly theological than providential explanations, behavioral theories had clear moral utility: disease became a tool of moral ing to missionaries, if vice brought disease to American Indians, then acceptance of Christian morality and lifestyles would bring them arguments targeted White audiences as was, after all, Whites who had introduced American Indians to alcohol and other sinful behaviors.Catlin warned his readers that the legacy of White influence on Indian populations, “an unrequited account of sin and injustice,” would haunt all Americans on judgment an Ioway delegation visited London during the 1840s, an English minister demanded that the Ioway acknowledge smallpox as divine war chief had a quick reply: “If the Great Spirit sent the small pox into our country to destroy us, we believe it was to punish us for listening to the false promises of white is a white man’s disease, and no doubt it was sent among White people to punish them for their sins.”42 TUBERCULOSIS, EXTINCTION, AND THE CIVILIZING PROCESS Into the early 19th century, many European and American observers dismissed Catlin’s concerns and argued that American Indians had brought mortality on position became increasingly untenable during the 19th contact between White and American Indian societies increased, it became obvious that federal policies adversely affected Indian reservation system, which was imposed between the 1830s and the 1870s, transformed patterns of morbidity and ox, measles, cholera, malaria, venereal diseases, and alcoholism remained common but were reportedly mitigated by government physicians with vaccination, fumigation, and quarantine.
43 These problems, however, were dwarfed by ption and scrofula had been present but rare among American Indians for centuries.44 They quickly became the leading cause of death, especially on the Dakota reservations, where they dominated annual mortality reports, often causing half of all believed that “it is practically the only disease that causes their large death rate.”46 Although the burden of disease had shifted from acute to chronic infections, the disparities surgeon general reported that the consumption hospitalization rate for Indian soldiers in 1892 was more than 10 times the rate for White soldiers.47 Sioux mortality from tuberculosis alone exceeded the mortality rates from all causes in most major cities.
48 Observers had little difficulty explaining the prevalence of tuberculosis among the Sioux.
Many blamed the reservation system and the terrible living conditions imposed on the confined , poorly ventilated log cabins and inadequate government rations set the tribes up for r, as had happened before, they also were quick to blame the Sioux for specific behaviors, from unhygienic cooking to religious dances, pipe smoking, and cigarettes that made bad conditions n stated these punitive sentiments most clearly: “The excessive mortality is but the sum total of all these influences combined—is the measure of their transgressions.”50 A broad consensus accepted these problems as the proximate causes of Sioux crucial debates of the late 19th century instead confronted the ultimate causes of the disparities in health status, specifically the roles of racial differences and socioeconomic of racial hierarchy were firmly entrenched in the national ntial works, such as Josiah Nott and George Gliddon’s Types of Mankind, argued that although American Indians had once thrived in America, they could neither compete nor coexist with “Caucasians”: “It is as clear as the sun at noon-day, that in a few generations more the last of these Red men will be numbered with the dead.”51 Some doctors saw these theories as compelling explanations for the disparities in believed that Indians could only be saved by mixing with other groups: they will “die everywhere they go, of tuberculosis, until the race is so thoroughly crossed by ‘foreign blood’ that it will stamp out the tubercle bacillus, and when that is done the Indian race in its original purity will be no more.”52 For those who believed that extinction was inevitable, the reservation system became little more than palliative care for a dying race.
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53 Other observers rejected these pessimistic visions and argued that the outbreak of tuberculosis was not the inevitable result of hereditary , it was the contingent product of the difficult transition from primitive life to civilization.
Physicians who observed the Sioux before and after their confinement saw how quickly the native health of the Sioux Bushnell, for example, observed Sioux prisoners who were brought to live among Sioux already settled on a reservation in described “scrofulous youths from the Agency, their fleshless limbs fully clad, looking on wistfully at the dances of the warriors in the summer twilight … revealing in many instances a magnificent physique and a boundless vitality, which contrasted cruelly with the listless aspect of some of their spectators.”54 Although they knew that reservations had fueled tuberculosis, many physicians and officials maintained their faith in the fundamental value of ulosis existed not because the civilizing process was wrong but because it had been implemented badly 8 Dec 2015 - For this reason, cab owners need to keep your investment to get a policy in the construction site to drivershave control over the speed limit and to it to be in an EU number plate from 20.5 metres (67 feet) to check the visa necessities and get good insurance coverage takegenerally cause a large amount .”54 Although they knew that reservations had fueled tuberculosis, many physicians and officials maintained their faith in the fundamental value of ulosis existed not because the civilizing process was wrong but because it had been implemented badly.
Indians were “reduced to the condition of paupers, without food, shelter, clothing, or any of those necessaries of life which came from the buffalo; and without friends, except the harpies, who, under the guise of friendship, feed upon them.”55 The government had to intervene: “We have no right to assume that they are a race given over to God to destruction, and we have less right to doom them ourselves 2016 infiniti q50 2016 infiniti q50 review 2016 2016 bmw 750i nbsp.”55 The government had to intervene: “We have no right to assume that they are a race given over to God to destruction, and we have less right to doom them ourselves.”56 Health would be restored when the government enabled the Indians to enjoy the full benefits of White TENT DISPARITIES Faith that civilization would eventually bring health to the American Indians prevailed in the debate about the ultimate causes of tuberculosis 2016 infiniti q50 2016 infiniti q50 review 2016 2016 bmw 750i nbsp.
”56 Health would be restored when the government enabled the Indians to enjoy the full benefits of White TENT DISPARITIES Faith that civilization would eventually bring health to the American Indians prevailed in the debate about the ultimate causes of tuberculosis.
Some government officials committed themselves to improving reservations through education, economic reform, and health care.However, their paternalistic policies, which were based on the assumed superiority of White culture and religion, rarely led to improvement and often made matters l campaigns, for example, suffered from inadequate compared the salaries paid to government physicians in the Army, Navy, and IHS and divided these sums by the populations served.He then calculated a crude estimate of how the government valued people: $21.57 The enthusiasm of the Progressive era brought new interest and new funding to the problem of Indian tuberculosis.During the International Congress on Tuberculosis in 1908, Commissioner of Indian Affairs Francis E.
Leupp identified tuberculosis as “the greatest single menace to the Indian race.”58 President William Taft committed the government to new ss responded in 1912 with an emergency appropriation of $ Bureau of Indian Affairs (BIA) organized campaigns against tuberculosis, trachoma, infant mortality, house flies, alcoholism, and tooth decay.Where to purchase a thesis proposal construction trades confidentiality platinum writing from scratch 16 pages / 4400 words single spaced 59 Annual appropriations grew steadily and reached $350000 by year, for the first time in more than 50 years, more Indians were born than ian George Kober celebrated the progress: “Thanks to the progress of medical science and the splendid humanitarian efforts of our Government, a noble race of people has been snatched from the very jaws of death The health status of American Indians/Alaska Natives lags behind that of the US population.American Indian/Alaska Native (AIAN) nurses are on the front lines of health services for AIAN people.They have the potential to make scientific contributions as well, but are under-represented among researchers working to.
Physician George Kober celebrated the progress: “Thanks to the progress of medical science and the splendid humanitarian efforts of our Government, a noble race of people has been snatched from the very jaws of death.”60 The 1921 Snyder Act strengthened the mandate for government action, and congressional appropriations continued to grow: $596000 in 1925, $2980000 in 1935, $5730000 in 1945, and $17800000 in ulosis mortality in 1925 was 87/100000 among the general population, 603/100000 among Indians overall, and 1510/100000 among Arizona Indians operations of the Navajo Project, a cooperative research program of the U.American Research; and the Museum of New Mexico.
This project is concerned with the salvage of all archaeological materials endangered by the construction of the Navajo.Tuberculosis mortality in 1925 was 87/100000 among the general population, 603/100000 among Indians overall, and 1510/100000 among Arizona Indians.62 During World War II, between 10% and 25% of Navajo soldiers and workers had to be returned to the reservation because of active tuberculosis operations of the Navajo Project, a cooperative research program of the U.American Research; and the Museum of New Mexico.This project is concerned with the salvage of all archaeological materials endangered by the construction of the Navajo.62 During World War II, between 10% and 25% of Navajo soldiers and workers had to be returned to the reservation because of active tuberculosis.
63 Postwar surveys confirmed the problem: in 1947, tuberculosis mortality among Arizona Indians (302 who can do a custom theological studies coursework Platinum A4 (British/European) 14 pages / 3850 words.63 Postwar surveys confirmed the problem: in 1947, tuberculosis mortality among Arizona Indians (302.4/100000) dwarfed both the rate among Indians in general (200/100000) and the national population (30/100000).64 The problem was not confined to tuberculosis.Incidence among the Navajo exceeded that of the general population by a factor of 15.
65 The Navajo also had the country’s highest infant mortality rate.66 Explanations for the persistent tuberculosis disparities followed the framework of the late 19th century.Environmental theories were common; the new challenge was to explain how tuberculosis could thrive in the arid southwest, where the climate was recommended for many convalescing White ians who were still critical of American Indian cultures found much to blame in Navajo living conditions: “Benefits to health from an outdoor life are over-balanced by the ill effects of overcrowding, lack of sanitary provisions, and the poverty which leads to a poor, inadequate supply of food.”67 They moved easily from blaming the conditions of poverty to emphasizing behaviors that the Navajo adopted while living in those the healthy and the sick expectorated freely without disinfecting their Navajo ate meals irregularly and prepared food poorly.Intemperance, apathy, indolence, and hopelessness all weakened the physician Sydney Tillim complained, they lacked “intelligence in all things medical.
”68 The Navajo expressed both interest and skepticism in these Manuelito Begay, a prominent medicine man and a member of the Navajo Tribal Council, saw a microscope slide of the tubercle bacillus, he was impressed but not convinced of its relevance: “They tell me that it is inflicted by a person coughing in your face—that is the way you get tuberculosis in your system.A person should not be that weak to be susceptible to a man’s cough.”69 Other Navajo also scoffed at medical explanations of woman argued that if infected sputum sowed tuberculosis within Navajo homes, then chickens, which constantly pecked at the infected dirt floors, should have been devastated by the disease.70 White doctors shared Begay’s puzzlement about the specific causes of Navajo susceptibility.
Ill-defined genetic explanations remained 1923, the New Mexico State Department of Health went so far as to assert an ongoing process of natural selection: “Resistant race has not been bred as undergoing process of weeding out the nonresistant strains.
”71 Genetic explanations were used just as easily to explain the surprisingly low incidence of noninfectious diseases among the Navajo, including hypertension, cancer, heart disease, and baldness.72 Most doctors, however, rejected genetic determinism.The National Tuberculosis Association argued in 1923 that “tuberculosis attacks without any racial preference.”73 Studies found that “the character of tuberculous lesions, as determined roentgenologically, is not significantly different from that observed among the white population.”74 Although the reservations clearly suffered severely from tuberculosis, “identical” epidemics existed among populations “living under like conditions among people of the White and Yellow races.
”75 These writers believed that socioeconomic conditions, when severe enough, could destroy the health of any NG POVERTY WITH MEDICAL TECHNOLOGY The different explanations had clear implications for American Indian health policy.Whereas New Mexico officials seemed content to allow natural selection to solve the tuberculosis problem, most government officials accepted the causal role of economic nondevelopment and believed that health could only come from improvements in socioeconomic became especially clear when a postwar economic recession struck the Navajo and Hopi ssional investigators were shocked by what they found: “So long as the Navajos remain on the barren wasteland on which they live, without communities, roads, water, sanitation, or the opportunity to earn a living wage, they must continue to live in squalor and disease.”76 Congress responded in 1950 with a $90 000 000 program for the long-range rehabilitation of the Navajo and Hopi.77 This intensive program for the Navajo and Hopi reservations paralleled postwar political interest in international economic development.In each case, policymakers believed that the disparities in health status between developed and developing populations arose from disparities in socioeconomic ed health could be achieved most fundamentally by economic gh economic development remained the ultimate goal, health officials realized that it could not be achieved easily or quickly wanted to find ways to improve the health of underdeveloped populations living in rural clear problem, which was highlighted in a 1950 American Medical Association report, was the inadequacy of existing health services on the reservations.
78 Annie Wauneka, who led the health committee of the Navajo Tribal Council, agreed during her testimony to Congress: “We think there is no real health there is, we haven’t heard about it or seen it.”79 Emboldened by postwar optimism and by faith in new technologies, such as penicillin, isoniazid, and DDT, health officials believed that they would be able to improve health conditions, even in the absence of economic McDermott’s “Health Care Experiment at Many Farms” put this question to the test.80 After choosing a remote area of the Navajo Reservation, McDermott’s team of doctors, anthropologists, and social scientists worked closely with Wauneka and other Navajo leaders to reduce morbidity and mortality in the absence of socioeconomic found that their treatment programs controlled tuberculosis but had little impact on the other leading causes of morbidity and mortality, especially childhood diarrhea and failures surprised the researchers: “When one considers our pre-experiment expectations, soundly grounded in the conventional wisdom, these results were clearly disappointing.”81 Entrenched disparities in health status did not yield easily to medical ott’s work was part of a broader effort to reform health care on the reservations.Frustrated by the continuing failures of the BIA to relieve health disparities, Congress moved the medical services from the BIA to the Public Health Service, thus creating the Indian Health Service in 1955.
82 The IHS conducted an initial health survey and found wide disparities in health status and health services between Indians and the general American Indians, total mortality was 20% higher, infant mortality was 3 times higher, life expectancy was 10 years lower, and infectious diseases and accidents were more prevalent; however, heart disease and cancer were less common.83 Health conditions remained bad into the 1970s: life expectancy was two thirds the national average, and the incidence of infant mortality (1.
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5 times), diabetes (2 times), suicide (3 times), accidents (4 times), tuberculosis (14 times), gastrointestinal infections (27 times), dysentery (40 times), and rheumatic fever (60 times) also were above the national average.As a result, the Navajo Tribal Council articulated a new vision of Indian health self-determination and attempted to build its own medical school: “The day will arrive when a more effective health-care delivery system utilizing Indian professionals will replace the current day will arrive when the American Indian will determine what his own health standards and services should be.”84 For Wauneka, the “paramount objective” was clear: “The care by Indians of our peoples’ health Jump to Best websites to get a thesis proposal construction trades bluebook - Best website to buy a college thesis proposal construction trades 6 hours double spaced Premium British. nbd-dhofar.com/homework/how-to-get-an-economics-homework-writing-from-scratch-us-letter-size-single- .
”84 For Wauneka, the “paramount objective” was clear: “The care by Indians of our peoples’ health.
Crossing borders erasing boundaries interethnic nbsp ”85 The Navajo did not succeed in obtaining funding to establish an independent medical r, the IHS steadily increased the participation and the leadership of Indian health professionals within the IHS.It continued to combat health disparities, and by 1989, it claimed great success, arguing that its efforts since 1955 had reduced tuberculosis by 96%, infant mortality by 92%, pulmonary infections by 92%, and gastrointestinal infections by 93% RESUMES and COVER LETTERS Harvard Office of Career continued to combat health disparities, and by 1989, it claimed great success, arguing that its efforts since 1955 had reduced tuberculosis by 96%, infant mortality by 92%, pulmonary infections by 92%, and gastrointestinal infections by 93%.Although parity with the general population had not been achieved, the gap had been narrowed.86 However, as they have done for centuries, the disparities data from the late 1990s showed higher mortality rates among American Indians and Alaskan Natives compared with the general population for most leading causes of mortality: heart disease (1 Tracing Diff rance UiO data from the late 1990s showed higher mortality rates among American Indians and Alaskan Natives compared with the general population for most leading causes of mortality: heart disease (1 nbd-dhofar.com/homework/best-website-to-purchase-a-macro-economics-homework-12-hours-graduate-platinum.86 However, as they have done for centuries, the disparities data from the late 1990s showed higher mortality rates among American Indians and Alaskan Natives compared with the general population for most leading causes of mortality: heart disease (1 Tracing Diff rance UiO data from the late 1990s showed higher mortality rates among American Indians and Alaskan Natives compared with the general population for most leading causes of mortality: heart disease (1.Only with cancer, the second leading cause of death, was American Indian mortality not greater than that of the general rmore, these disparities all widened between 1995 and 1998 nbd-dhofar.com/homework/best-website-to-purchase-a-macro-economics-homework-12-hours-graduate-platinum.
Only with cancer, the second leading cause of death, was American Indian mortality not greater than that of the general rmore, these disparities all widened between 1995 and 1998.
87 Congress and the IHS continue to work to improve conditions on the 1975 Indian Self-Determination and Indian Assistance Act (Public Law 93-638) and the 1976 Indian Health Care Improvement Act renewed the government’s commitment to Indian health and gave the tribes more control over their health care services.88 Working with an annual budget of nearly $3000000000, the IHS now provides services to 1.89 However, as has been true since the 19th century, per capita expenditures remain far below those in the general population: $1351 for Indians compared with $3766 for the general population overall.90 Casinos have brought wealth to a small number of tribes, but Indian gaming could prove to be catastrophic for Indian health if public perception of American Indians as gambling moguls dissolves the obligation felt by Congress to provide care for them.91 CONCLUSIONS Disparities in health status between American Indians and Europeans and Americans have been recognized for 5 observers have felt that the existence of disparities is fundamentally wrong.
Such moral outrage has motivated centuries of attempts to relieve have disparities been able to persist? How have they been allowed to persist? Several things are , there are striking patterns in attempts to account for the distribution of health and ations have spanned a remarkable range of possible etiologies, including religion, diet, living conditions, climate, cultural practices, racial differences, and socioeconomic single explanation has defined the phenomena of disease so clearly that other explanations have been precluded.Many of the explanations have persisted throughout the centuries, although their specific details and meanings have tions of providence, for example, gave way to genetic determinism as the most common argument for inevitable is has also shifted, with religious explanations dominating initially but then giving way to behavioral, genetic, and socioeconomic a trajectory, however, is only a coarse more striking has been the persistence of the diversity of explanations over time.Second, the enduring existence of an abundance of possible explanations has allowed observers to emphasize the most meaningful or useful understandings of g land, colonists saw Massachusett depopulation as a gift of g absolution for the destruction of Indian societies, federal officials saw Sioux tuberculosis as proof of Indians’ inevitable choices could have been constrained by the plausibility of different d, persistent inadequacies in health data for American Indians have often prevented the establishment of clear consensus about the etiology of diseases and disparities.This has allowed observers to exercise considerable discretion in their assessments and has opened a large window for ideology to influence health data, theories, and , choices about explanations have reflected observers’ attitudes about a fundamental question: where should responsibility for disparities be assigned? Although some observers blamed personal choices, others argued that Indian diseases were the product of the disrupted social conditions of colonization., victims of genetic susceptibility) or the healthy (e.
, misguided architects of the reservation system), or it can be transferred to an outside authority (e.These assignments have crucial implications for health policy.Health disparities have been seen as proof of a natural order that can be exploited for observers’ benefit, and they have been seen as markers of social injustice that observers must shifting balance between these ideological poles contributed to the enormous heterogeneity of past federal Indian health rmore, because disparities in health status parallel disparities in wealth and power, responses necessarily involve decisions to deploy or withhold economic and political makers have had to balance Indian health with other priorities and obligations of the federal government, including land acquisition, military needs, resource development, or questions about Indian tensions about responsibility and appropriate response appear in current debates about the genetics of health disparities.Researchers have proposed that American Indians have genetic susceptibilities to many diseases, from alcoholism to virgin-soil epidemics or Pima diabetes.92 Despite this active research, genetic causes were notably absent from a recent IHS report: “Lower life expectancy and the disproportionate disease burden exist perhaps because of inadequate education, disproportionate poverty, discrimination in the delivery of health services, and cultural differences.
”93 What generates the controversy surrounding genetic theories of health disparities? By focusing on biological origins, genetic theories naturalize disparities and reduce the shame and stigma associated with behavioral or cultural introducing an aura of inevitability, genetic arguments reduce the obligation to intervene and prevent or reduce disparities.More practical concerns also t interest in molecular genetics makes research into the genetics of disparities a safe bet for researchers in need of grants and contrast, genetic explanations can be a dead end for policymakers, especially when compared with the many interventions suggested by explanations that emphasize socioeconomic conditions or access to health care.94 Debates about the genetic origins of health disparities raise 1 last red by the Human Genome Project, researchers hope to find genes for every disease and disparity.However, as more and more genetic links are proposed for American Indian ill health, the overall argument becomes harder to ities among American Indians have existed whether the prevailing diseases were acute infections (e., smallpox and measles), chronic infections (e.
, tuberculosis), or the endemic ailments of modern society (e., heart disease, diabetes, alcoholism, and depression).Recent trends suggest that disparities in cancer might also it conceivable that American Indians have genetic vulnerabilities to every class of human disease? The existence of disparities regardless of the underlying disease environment is actually a powerful argument against the belief that disparities reflect inherent susceptibilities of American Indian populations.Instead, the disparities in health status could arise from the disparities in wealth and power that have endured since colonization.
95 Such awareness must guide ongoing research and interventions if the disparities in health status between American Indians and the general population are ever to be eradicated.
A House-call on the Navajo part of its effort to improve health services for American Indians in the 1950s, the Public Health Service funded a series of innovative health care one project, based at Many Farms, Arizona, physicians, .Research Careers for American Indian/Alaska Native Nurses: Pathway to Elimination of Health Disparities Susan J.Where to get an thesis proposal construction trades plagiarism-free american ama 103 pages / 28325 words a4 (british/european) Henly and Roxanne Struthers are with the School of Nursing, University of Minnesota, and Bette Ide are with the University of North Dakota College of Nursing, Grand y Patchell is with the Indian Nursing Student Success Program at the University of Oklahoma College of Nursing, Oklahoma City Professional dissertation proposal writing sites Allstar Construction.Beverly Patchell is with the Indian Nursing Student Success Program at the University of Oklahoma College of Nursing, Oklahoma City.Barbara Holtz-claw is with the Bridge Project, University of Minnesota, ts for reprints should be sent to Susan J.
Henly, School of Nursing, University of Minnesota, 5-160 WDH, 308 Harvard , Minneapolis, MN, 55455 (e-mail: @300ylneh).This article has been cited by other articles in PMC.Abstract The health status of American Indians/Alaska Natives lags behind that of the US an Indian/Alaska Native (AIAN) nurses are on the front lines of health services for AIAN have the potential to make scientific contributions as well, but are under-represented among researchers working to understand health AIAN MS-to-PhD Nursing Science Bridge, at the University of Minnesota, in partnership with the Universities of North Dakota and Oklahoma, provides support for AIAN nurses during the critical training transition from masters of science to doctoral r schools collaborate with AIAN elders, medicine people/spiritual leaders, and academic consultants to (1) foster academic success and strengthen the AIAN identity of students during their research training and (2) bring about institutional change to optimize student experiences.Future research programs developed by this cadre of AIAN nurse scientists will contribute scientifically sound, culturally acceptable knowledge to effectively improve the health of AIAN SHARP CONTRAST TO THE US population as a whole, the American Indian/Alaska Native (AIAN) population is characterized by shortened life spans more typical of preindustrial developing countries.1 ,2 Disabilities are widespread,3 and rates of chronic disease are rising rapidly.
1 Prevention and treatment concerns, intertwined with elevated unemployment rates and low income, are complex.1 Disparities in access to education and educational achievement4 contribute to and complicate the resolution of health disparities.The United States has committed to the Healthy People 2010 goal of eliminating health disparities among minority and ethnic populations, including American Indians/Alaska Natives in 6 areas: infant mortality, cancer screening and management, cardiovascular disease, diabetes, HIV infection/AIDS, and immunization.5 Elimination of AIAN health disparities and just fulfillment of federal trust responsibilities for AIAN health requires monetary, workforce, and facilities resources,6 ,7 as well as advocacy to ensure effective utilization of these resources.8 Generation of new knowledge through scientific methods about individual, family, and tribal community responses to health problems and the culturally acceptable initiatives designed to eliminate those problems is a critical complement to these resources.
9 Nurse researchers are well positioned to discover and develop this needed new knowledge to be used across the range of health services and in the public health form the largest group of health professionals in nearly all settings, including public health, and are recognized as the “backbone of the IHS Indian Health Service health care team” that provides services to approximately 1.12 The scientific and scholarly foundations of nursing practice encompass physiological, biobehavioral, psychosocial, and spiritual perspectives on human responses to health–illness experiences.13 –14 The broad, holistic perspective of nursing meshes with traditional AIAN health beliefs,15 as well as beliefs of AIAN nurse and tribal leaders, that actions necessary to eliminate health disparities will have to reach beyond the health care delivery system.9 Since 2001, the AIAN MS-to-PhD Nursing Science Bridge, funded by the National Institute of General Medical Sciences (NIGMS), has been educating AIAN nurses whose scientific training is focused on development and dissemination of knowledge and utilization of research findings to eliminate health program prepares a scientific workforce poised to perform culturally congruent research in AIAN communities.When the project began, approximately 12 AIAN nurses held doctoral-level goal of the Bridge project is to correct this grave underrepresentation of AIAN nurses in h its work, the overall number of nurse scientists is projected to double by describe here federal scientific workforce policy as it pertains to the AIAN Nursing Science outline the structure, processes, and outcomes of the project and explain how the Bridge is a pathway to the elimination of health disparities among AIAN people.
BRIDGES TO THE FUTURE The project is part of the Bridges to the Future Program,17 1 piece of a larger mosaic of programs at the National Institutes of Health (NIH) designed to increase the number of minority scientists and to improve the health of minority criterion for success for the Bridges program, set forth in its mission statement, is the creation of a cadre of students from underrepresented minority groups who, instead of receiving terminal masters degrees, see new opportunities for careers as scientists, with their ambitions supported by the highest possible quality of research and training.18 All bridges to the doctorate in the NIH Bridges to the Future program involve partnerships between at least 2 institutions, one of which offers the MS as the highest degree and another that awards doctoral degrees in 1 or more areas of science related to the NIH t activities vary, but all are designed to support successful MS-to-PhD transitions.Currently, NIGMS funds approximately 25 projects involving approximately 120 students from underrepresented minority groups at approximately 75 institutions.Since inception of the Bridges to the Future Program in 1993, more than 250 MS students have been funded, 72 have begun doctoral study, and 12 have earned PhDs in a biomedical or health science.
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18 The AIAN Nursing Science Bridge is unique among bridges to the doctorate because it focuses on research training for AIAN nurse project, based at the University of Minnesota School of Nursing, was initiated in partnership with the University of North Dakota College of Nursing (2001–2004) and is continuing with the University of Oklahoma College of Nursing (2003–2007).
All 3 schools are located in states where many American Indians University of Minnesota was positioned to begin this work by virtue of a longstanding, high-quality PhD program in nursing science, 3 American Indian faculty members, and a research portfolio that emphasizes AIAN health.Both MS partner schools are home to funded programs to support BSN and MS students in nursing 4 Nov 2017 - Best online resume writing service 7th arrondissement buy good essay abstract essay history of islam homework helpbuy essay online at professional. Enjoy proficient essay writing and essays for buy custom writing services provided by professional academic writers. Best websites to buy research..Both MS partner schools are home to funded programs to support BSN and MS students in nursing.
19 The Recruitment and Retention of Native Americans into Nursing (RAIN) programs, based at the University of North Dakota, is one of the Quentin Burdeck Indian Health Programs funded by the Indian Health Care Improvement Act of sity of Oklahoma is home to the Indian Nursing Student Success Program (INSSP), funded as an IHS Section 112 ned success of AIAN students enrolled in BS and MS programs at partner schools reflects the institutional commitment to AIAN nursing education embodied in these ic aims of the AIAN Nursing Science Bridge Project are to (1) provide research assistantships to MS students, (2) build research capacity at MS partner schools, (3) ensure culturally informed advisement at the doctoral level, (4) collaborate with AIAN communities in all phases of project implementation, and (5) foster academic success and enhance the AIAN identity of students who, upon earning the PhD in nursing science, are ready to launch research careers focused on elimination of AIAN health disparities.The bridge project structure designed to support achievement of these aims is pictured in Figure 1 ▶.The “bridge” has 2 cultural abutments: academic and is suspended by 6 activities that support students, partner schools, and AIAN communities: faculty development, linked recruitment, dual advisement and mentorship, research participation, research dissemination and utilization with guidance of elders and medicine people or spiritual leaders, and a bicultural project project supports the MS-to-PhD transition, as students “cross the bridge” from a science-based undergraduate professional degree to a doctorate and a research Y TO SCIENCE BSN graduates at MS partner schools comprise the initial pool of students for the MS-to-PhD r, any AIAN nurse with a BSN degree enrolled in the partner school MS program is eligible to apply for a Bridge-supported research st in a research career and ability to articulate the framework of a future program of research are essential selection date, all participating students have outlined scientific trajectories aimed at eliminating AIAN health tly, the 8 AIAN nurses participating in the Bridge represent 7 tribes.
Six of the 8 students are enrolled tribal members, 2 have AIAN heritage by descent, and all are students began their post–high school education at community or tribal a group, they are older than average gh research methods and research utilization are standard elements of the BSN curriculum in nursing, none had seriously considered a research career until a RAIN, INSSP, or Bridge staff or faculty had suggested it.Students are motivated to improve themselves and advance their education to serve American Indians/Alaska endations included with applications to the program describe students as bright, self-directed, and mature.Best websites to get a thesis proposal construction trades bluebook premium editing a4 (british/european) Applicants are characterized as determined, dependable, and diligent, with a commitment to goals they set for a group, they are characterized as possessing positive outlooks, bearing compassion, and having a passion for their of these attributes are needed for graduate school success and for a research career developed in collaboration with AIAN communities and health systems Best website to buy a college thesis proposal construction trades 6 hours double spaced Premium British.All of these attributes are needed for graduate school success and for a research career developed in collaboration with AIAN communities and health systems.Fostering Academic Success Bridge students are assigned advisors from both the MS and PhD system of joint advisement facilitates continuity over the course of both degree faculty advisors and Bridge staff guide students through the application process for the doctoral program, including encouragement for completion of the Graduate Record Examinations requirement ISR Process GE Healthcare Research Services Sample Customer Service Resume Ghostbusters Authors of a new study propose a strict ban on medical ghostwriting Best custom essay.
research proposal mla format term paper proposal example.PhD faculty advisors and Bridge staff guide students through the application process for the doctoral program, including encouragement for completion of the Graduate Record Examinations addition to the coursework and projects required for the MS degree, Bridge scholars complete a mentored research assistantship with faculty or community-based investigators engaged in AIAN health disparities Bridge program funds the assistantships /homework/how-to-get-an-economics-homework-writing-from-scratch-us-letter-size-single-spaced-100-plagiarism-free.The Bridge program funds the assistantships.
Because students earn a salary for work completed, there is no service payback associated with t funding of the assistantships provides an incentive for faculty participation because it complements their research budgets or provides an assistant when funding is limited or unavailable (for pilot projects, for example).Most Bridge scholar–mentored research and projects are in priority areas related to the elimination of AIAN health ts focus on the scourges of diabetes and its complications, especially renal complications and lower extremity ts address health experiences across the lifespan range from prevention of fetal alcohol syndrome to exercise in school-aged children to health experiences and health service needs of elders.Other projects focus on caring for caregivers of people with dementia and attitudes of nursing students toward persons with students are making timely progress toward degree students have transitioned to doctoral study and secured students were awarded Graduate School Diversity of Views and Experiences Fellowships in a university-wide competition at the University of Minnesota, and 1 student was awarded a prestigious Hartford Geriatric Nurse Fellowship.20 Enhancing Cultural Identity Cultural conflict continues to be part of the higher education experience of many AIAN students.The process of completing a doctoral degree conflicts with many AIAN values, such as present-time focus, patience, respect, family, harmony with nature, and circular thinking.
21 A huge deterrent for AIAN people enrolling in a university is the loss of AIAN e an emphasis on diversity and a goal of cultural competence for graduates, the content and process of nursing education programs tend to be built on and emphasize mainstream values.22 ,23 In this climate, retention and progression are challenging.For example, AIAN students enrolled in one MS program reported conflicts between AIAN and academic values and feeling isolated from other students.24 ,25 Students reported that differences in worldviews, rigid academic environments, barriers to effective faculty–student relationships, and the need to develop personal strategies for goal attainment were all part of their graduate school graduation, American Indian MS students participating in this study reported feeling changed as individuals and often questioned the degree to which the content they had learned would apply to their cultural y also reported significant challenges working with AIAN students.
26 A desire for uniformity in the availability to all students and the maintenance of academic and professional standards tended to override efforts to provide individualized, culturally relevant instruction and advisement to AIAN these reasons, Bridge project components were developed to support development of culturally competent advisors.
Native worldviews and experiences were incorporated into a program of faculty development guided by tribal elders, medicine people, and spiritual leaders and were implemented in both academic and AIAN AL GUIDANCE Indigenous knowledge is fostered and maintained by tribal elders.27 To guide project efforts, tribal elders participate in a consultative assist faculty, staff, and students with the following: (1) distinguishing, maintaining, and fostering cultural traditions, values, and knowledge; (2) encouraging students to proceed with an advanced education and identifying barriers and solutions to overcome obstacles; (3) assisting with the integrity and dignity of the program from an AIAN perspective by teaching and guiding faculty and staff; (4) facilitating ceremonies and rituals as appropriate; and (5) reviewing and recommending plans for recruitment and program evaluation and ing an advanced research degree is a critical component of scientist development.However, another goal is holistic health for Bridge scholars whose sense of AIAN identity is enhanced, not sabotaged, by their educational and professional ne people and spiritual leaders help their clients preserve and nourish a balanced, healthy life-way.28 ,29 We thought that a healthy foundation would enhance the well-being and holistic energy and synergy of the group as well, as they encountered the everyday trials, challenges, and rewards of working on this provide this base, medicine people and spiritual leaders serve as project tions with elders and medicine people or spiritual leaders were made in a variety of ways.The project director invited participants of an urban AIAN elder service providers group to take individuals subsequently created the programming for a Grandfathers and Grandmothers Supporting Indian Nurse Scholars grandmother continued her participation with a part-time appointment that combines clerical and receptionist, student support, and community liaison duties include welcoming and supporting students when they cross over to the doctoral ne people and spiritual leaders were already working with the University of Oklahoma, were friends of faculty, or were informally nominated by their tribal community.
The family of 1 AIAN academic consultant stepped forward to academicians provide intertribal and national scientists and student services professionals experienced in supporting AIAN students in high-stakes, competitive academic environments are represented in the consultant a group, the AIAN consultants were part of an earlier wave of students who successfully negotiated the higher education system in relative isolation and then thrived in their careers, even as they maintained their AIAN heritage and serve as role models to Bridge scholars simply by their presence and in the telling of their personal stories.They actively advise students to partake of the academic and AIAN worlds to foster academic success and to enhance AIAN AIAN Nursing Science Bridge holds an annual retreat to bring students, faculty, staff, medicine people and spiritual leaders, elders, and AIAN consultants retreats have been held at the conference center, tribal offices, and tribal college of the White Earth Band of Chippewa Indians in Mahnomen, retreats are planned in AIAN participants, the retreat is a chance to return to the comforts and ways of home.For non-AIAN faculty and staff, the retreat is a cultural immersion experience that introduces and expands knowledge and understanding of their AIAN students’ life experiences and aspirations as nurse project director develops the formal retreat agenda in consultation with others on the ne people and spiritual leaders use traditional ceremonies and prayers to conduct the remind everyone to use their AIAN begin Talking Circles to facilitate acquaintance among Bridge participants and to center each participant’s presence.Bridge scholars, faculty, and staff become learners as elders teach about traditional ways, describing health, child rearing, and educational experiences; food (rabbit snares, pemmican); ceremonial materials ( knicinik); and handcrafts (especially sewing).Discussion of educational and research topics proceeds in the AIAN-centered, AIAN-surrounded retreat atmosphere, the essence of which will then be carried back to the academic t evaluation data, collected annually or at the conclusion of the retreat, provide some insights into the impact of cultural guidance rate inclusion of enhanced cultural understanding as a goal for everyone involved in the project was identified as a strong feature of the retreat.
The persistence of american indian health disparities ncbi nih Participants rated activities with medicine people and spiritual leaders (smudging, prayer, individual consultation), AIAN academic consultants (presentation and advisement), and tribal elders (stories, crafts, presence, and guidance) at the retreat and in other settings as “helpful” or “very helpful.” Faculty and administrators felt that involvement of the community showed a serious commitment to the success of the reported that, with each retreat, they felt a greater depth of understanding and more connection with the AIAN community GRADUATE COLLEGE.As members of the Dissertation Committee, we certify that we have read the dissertationsubmission of the final copies of the dissertation to the Graduate College.I hereby certify that I have readJadwiga Pieper Mooney in guiding my work in Latin American history and for serving on my doctoral.They reported that, with each retreat, they felt a greater depth of understanding and more connection with the AIAN community.
Spontaneous interactions and a relaxed atmosphere contributed to memorable and useful expressed appreciation and gratitude for being included in the project Lake Tribal College Walter Kawamoto, Ph.Department, College of Social Sciences and Interdisciplinary.Studies, CaliforniaAmerican Indian and Alaska Native (AI-AN) children, however, have not always been the direct beneficiaries of knowledge gained through research expressed appreciation and gratitude for being included in the daughter of one elder (who had never had the opportunity to attend school) said that participation was her mother’s opportunity to shine as she encouraged Bridge scholars in their educational efforts.
The retreat was originally planned as a faculty development ts suggested that they also take were eager for the cultural connectedness that the activity provided, as well as the opportunity to meet faculty and staff from all project ts identified personal guidance and encouragement from the AIAN community, collaboration in development of their research projects, and advisement about the doctoral program application as especially beneficial.TEACHING–LEARNING SETTINGS The formal research training for Bridge scholars takes place in the classrooms, clinical facilities, and laboratories of participating universities.The project works at both MS and PhD partner schools to ensure rigorous research training for Bridge scholars in an optimal learning ch During the MS Program At MS partner schools, the goal is to enhance research s with the MS as the highest degree tend to be less research institutional goal of enhancing research capacity is designed to ensure that Bridge scholars obtain early research experience that positions them for competitive doctoral program research strength of the PhD school is used as the springboard to enhance research capacity at the MS school.Research partnerships among faculty at MS and PhD schools are the key to development of enhanced capacity.A senior nurse scientist serves as liaison between researchers at partnership nurse facilitates research partnerships by assisting MS partner faculty to articulate programs of research, connect with established researchers at the doctor institution, and use research infrastructure at the doctoral university that is available to him or y research interests and accomplishments at partner schools are linked by work on common projects as opportunities for collaboration arise or are e of the research priorities at both schools and their proximity to AIAN communities, many partnerships focus on health disparities research.
As the research partnerships mature, they will serve as ideal sites for mentored student addition, student research experiences include a structured program focused on acquisition and refinement of skills for clinical include use of literature search tools and bibliographic management systems, facility with data management and statistical analysis programs, and policy and procedure for working with human participants in ch activities are discussed at the retreat with medicine people and spiritual leaders, elders, and AIAN ic areas of investigation are approached from the points of view of the scientific community and the received knowledge held by AIAN people.In this way, the rigor of science is combined with traditional understanding to produce integrated perspectives on the health problems under al Advisement The number of nurses with earned doctoral degrees is so small that few schools have any experience guiding AIAN students through the PhD is true even for faculty whose research programs are focused on health faculty have personal experience with doctoral education, but very few have advised other AIAN students to doctoral degree these reasons, the goal at the PhD school is to prepare faculty for informed and effective doctoral advisement of Bridge scholars.Successful guidance and advisement of AIAN students at the MS schools is the strength of this , INSSP, and AIAN consultants make formal presentations at the retreat to share the wisdom that they have gained through experience working with y from the PhD school become personally acquainted with RAIN and INSSP staff to facilitate direct links to informed consultation about issues related to Bridge scholar y and administrators in key positions at the PhD school (e., Director of Graduate Studies, member of the Doctoral Admissions Committee) take part in project Bridge then becomes a means to engage the doctoral faculty as a whole in the education of future AIAN nurse circle of involvement is extended by the presence and activities of elders at the PhD individual and small group settings, they have provided a personal perspective on the historic experience of AIAN people in educational and health review and comment on Indian education and health news relevant to Indian nurse scientist training that is printed in tribal and national Native newspapers and other sources.With these efforts, Bridge scholars proceed in their scientific training in an academic milieu informed by and supportive of their career s for Research Programs Students articulate an idea for their research programs as part of the Bridge application, and then initiate those ideas as part of their graduate school ms of study for the MS and PhD degrees, the Bridge research assistantship, and participation in professional and scientific societies provide foundational knowledge and skills.
A common element of the envisioned research programs is a desire to generate new knowledge that can be used to eliminate health disparities among AIAN ic areas of research are diabetes and elder health.Diabetes research programs range from an interest in primary prevention at individual and community levels (e., obesity prevention) to treatment of complications (e.Geriatric research interests derive from recognition and respect for the lifelong contributions of elders to tribal and community health as well as a critical lack of the information needed to assist AIAN elders in maintaining optimal health.A CADRE OF AIAN NURSE SCIENTISTS AIAN people are underrepresented in the ranks of health lack of presence is especially acute among nurse scientists, whose work has the potential to impact disparities at the individual, family, community, and population AIAN Nursing Science Bridge is a concerted, deliberate effort to significantly and efficiently increase the number of AIAN nurse activities optimize the training experience by strengthening the academic setting at MS and PhD levels and integrating the academic and AIAN worlds.
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After 4 years, 8 of the 12 students needed to double the size of the cadre of nurse scientists are making steady progress toward that goal and degree ued funding through 2007 will support additional students and ongoing collaboration with AIAN communities at both MS and PhD Bridge scholars complete their degrees, they will be positioned for leadership in the implementation of research programs aimed at eliminating AIAN health ledgments The work described here was supported by the National Institute of General Medical Sciences (R25GM63249-01 and R25GM63249-02).Contributions and support from the administration, faculty, and staff of partnership schools are acknowledged with appreciation.With great sadness, we report that Roxanne Struthers died on December 10, work and example continue to motivate and inform our respect and honor, we thank the elders, medicine people, and spiritual leaders, and the academic consultants who have guided our Participant Protection Notes Contributors S How to get an homework construction Bluebook single spaced A4 (British/European) Editing.With great sadness, we report that Roxanne Struthers died on December 10, work and example continue to motivate and inform our respect and honor, we thank the elders, medicine people, and spiritual leaders, and the academic consultants who have guided our Participant Protection Notes Contributors S.
Henly drafted the article and coordinated contributions of other authors.Help me do custom thesis proposal construction trades british proofreading double spaced 50 pages / 13750 words Struthers proposed the activities for tribal community served as academic consultant and facilitated elder participation.
Ide was site coordinator at the University of North Dakota, and B How to get an thesis proposal construction trades professional double spaced American Rewriting was site coordinator at the University of North Dakota, and B soot build-up and the risk of expensive repairs and breakdowns. Preventative treatment is highly recommended for turbo diesel vehicles fitted with variable vane/nozzle/geometry turbos and direct injections petrol engines (GDI). Use the map below to find and contact your local garage to arrange your Revive treatment..Ide was site coordinator at the University of North Dakota, and B How to get an thesis proposal construction trades professional double spaced American Rewriting was site coordinator at the University of North Dakota, and B.Patchell was site coordinator at University of Oklahoma College of authors reviewed and commented on the article and participated in creation of the past presentations, proposals, and project reports on which it is based Best website to write thesis proposal construction trades Platinum 24 pages / 6600 words Business authors reviewed and commented on the article and participated in creation of the past presentations, proposals, and project reports on which it is ment of Health and Human lle, Md: Indian Health Service, Division of Program Statistics; 2004.Available at: /pub-licinfo/publications/trends97/ .WHO Issues New Health Life Expectancy Ratings.Geneva, Switzerland: World Health Organization; ans with disabilities: 1994–1995, Table 1H.
In: Disability Status of Persons 65 and Older by Race and Hispanic gton, DC: US Bureau of the Census; gton, DC: National Indian Education Association; 2003.Eliminating racial and ethnic : FY 2000 Performance Plan and Revised Final FY 1999 Performance Plan.Atlanta, Ga: Centers for Disease Control and Prevention; es to Keep: Public Health Policy for American Indians and Alaska Natives in the 21st gton, DC: American Public Health Association; 2001:xix–xxi.The future of Indian health through legislation: reauthorization of the Indian Health Care Improvement ating health disparities: focal points for advocacy and JG, Haldane SL, Keltner BR, Strickland CJ, Tom-Orme L.
National Alaska Native American Indian nurses association: reducing health disparities within American Indian and Alaska Native ling the spirit/reconnecting the circle.
A Publication of the National Alaska Native American Indian Nurses ment of Health and Human hensive Health Care Programs for American Indians and Alaska gton, DC: Indian Health Service; ble at: /NonMedicalPrograms/Profiles/ .The metaparadigm of nursing: present status and future s Affecting Tribal Choice of Health Care Organizations.In: A Forum on the Implications of Changes in the Health Care Environment for Native American Health Care.National Institute of General Medical da, MD: National Institutes of Health; presented at: Bridges Program Directors Meeting; June 2003; Tahoe City, status of nursing among minority populations: focus on the American Indian/Alaska Natives.Strategies for recruitment, retention, and graduation of minority nurses in colleges of gton, DC: American Nurses Publishing; York, NY: Hartford Foundation Institute for Geriatric Nursing; ble at /research/scholarsFellows/ .
Warriors in education: persistence among American Indian doctoral appearances: the philosophical and sociological issues confronting nurse educators in response to changes in health care delivery and population gies for Rrecruitment, Retention, and Graduation of Minority Nurses in Colleges of Nursing.Washington, DC: American Nurses Publishing; ulturalism and pluralistic thought in nursing education: Native American worldview and nursing academic son SS, Neary MA, Hyche-Johnson M.Native American graduate nursing students in a university Experiences of Native American Nurses: The Journey to Earn a Graduate Nursing Degree dissertation .Miami Shores, Fla: Barry University; 1999.Faculty experiences teaching Native American students in a university Lived Experience of Ojibwa and Cree Women Healers dissertation .
Minneapolis, Minn: University of Minnesota, Twin Cities; ities in health and health care: Focusing efforts to eliminate unequal uction: eliminating health disparities among racial and ethnic minorities in the United Articles from American Journal of Public Health are provided here courtesy of American Public Health Association Sort Statistics test statistical report example Dilemma The Dilemma: Ok, Lead Surgeon, it is time to do what you do best! There is a lot at decision must be made almost immediately.Like all actions, you will need to write your decision into medical documentation before you begin 5 Jun 2017 - The student walked over to the client and used reflective communication by stating, € I see that you have a tense expression and are walking aroundThen, saying he was tired, Frank played video games until bedtime and rationalized that he would get up early in the morning and do his all actions, you will need to write your decision into medical documentation before you begin.Yes, that means YOU! In the limited time before you would begin surgery, you need to consider the cases; the technical issues involved also, and write a Memorandum for the Record to document what decision you made and what considerations you included in your will be on the record, so it needs to be thorough in case it needs to justify your actions at a later are the Lead Surgeon in a major hospital, and by virtue of your seniority you are also the key decision maker for transplant cases The title page of the first catalog for 1866-67 uses the corporate name Berea College, while the cover bears theIn all degree programs, except Nursing, a minimum of 33 courses is needed to graduate; Nursing requirestheir regular terms of enrollment, with the exception of the final term of enrollment, for a maximum are the Lead Surgeon in a major hospital, and by virtue of your seniority you are also the key decision maker for transplant now you have three people who are waiting and hoping for a suitable heart to become available.Your cell phone rings suddenly, and you are notified that a heart has become available-meaning that you need to make a quick yet sound decision about which patient will receive the heart and then schedule surgery for Players: Jerry- Male, 55 year old family man, mid-level , a father of 3 children and at the age of 55, is in the Ward awaiting a suitable heart for wife Joanie is a stay at home mother with no education beyond high school and no career.Jerry is the middle level manager at a carpet distributing business and 5 year short of his retirement eligibility.
Jerry and Joanie have three teenage children aged 14, 16, and 19 year old is a sophomore at college; the 14 year old is mildly autistic, and the 16 year old is an astronaut Jerry gets the heart, his chances of living another 10-15 years are very heart is damaged due to the use of steroids in his early 20s when he was involved with bodybuilding before the dangers of steroid use were fully -Female, 12 year old lifelong health issues.Lisa is one of those precocious girls – a doll-like girl at the edge of becoming a reads voraciously and yet likes the activities of a younger girl playing with her Barbie has suffered health issues all her life due to various viral infections and a lupus-like immune heart was damaged during a nasty bout with pneumonia last year and actually stopped for a brief mother knew to begin CPR on her or she would have died there.Even with a transplant, her chances of surviving into her 20s are not is the only child in the family, and they cannot bear more parents will do anything for her, and they have offered to donate $2 million to the hospital\’s construction of specialized facilities if she can get a heart soon father is also a noted oncologist working in the same hospital but in a different - Male, 38 year old homeless drug abuser.Ozzy is a single 38 year old man with no has lived homeless and in shelters for at least a was brought to the Hospital through the work of a local charity that assists such men with no assets or heart condition is due to continued abuse and overdosing of crack cocaine, and without a transplant he will not live out the recent months, has become involved with troubled teens at a local homework and tutoring hangout, and he has provided the wisdom and insight that only an abuser can know about where life can go.He has signed a contract with the same charity that, if he gets the transplant, he will continue working at the after-school homework hangout as a counselor-mentor for at least one year after the the transplant and successful staying off the drugs, he could live another 10 years – maybe vism is a severe risk with his history of abuse, and if he returns to using crack he would quickly damage the new heart and die within - Male, 35 year old Lisa\’s Dad, the oncologist.
He has offered the hospital $2 Million Dollars in exchange that his daughter gets the heart is an up-and-coming oncologist in the same is loyal and totally committed to Lisa; while not obnoxious and pushy, his presence is keenly felt around the professional community in the Hospital and there is a need for his $2 Million.Deliverable: Your assignment is to make the decision using utilitarian ethics–as this week\’s classwork and discussions have brought you that skill–and then to write it up in the form of a Memorandum for the hospital er that this record could be reviewed by the Peer Review Committee or the Hospital Trustees at a later and Utilitarianism this week AND one other of our course\’s ethicists (Kant, St Augustine or St.Academic career planning and program of studies wordpress com The Memorandum should be two double-spaced pages, in memorandum form, ready to become an official item of \”You Decide\” tab to the left presents a difficult and painful dilemma to you in an imagined professional through the You Decide presentation, make the decision it calls for, and write your weekly paper to make your decision and explain, in the given format, your reasoning and justification for it Help me do a geology homework Custom writing Academic British 91 pages / 25025 words.Go through the You Decide presentation, make the decision it calls for, and write your weekly paper to make your decision and explain, in the given format, your reasoning and justification for it.Your dilemma is that you have to make a painful medical decision and to explain, in writing, who benefits from what you decided, who gets denied a needed benefit, and document is to be in the form of an official memorandum that will be kept for the record and could be potentially read by not only your Peer Review Committee, but also possibly those involved in charitable fundraising to support hospital development and others with financial interests in the choice will see in the You Decide tab that there is time pressure in the simulated situation to make your decision, so remember that you would not have the luxury to dawdle in the decision-making process, and as the decision-maker, you would not have the luxury of consulting others Page 1Provide current students and parents the information needed to make informed choices about SVGS courses as related to theirTechnical Writer.
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Use the order calculator below and get ordering with now! TRY OUR SERVICES TODAY.100% Original, Plagiarism Free, Tailored to your instructionsOrder Now! Chattahoochee NRSG 2123 – MENTAL HEALTH CASES STUDY MENTAL HEALTH CASES STUDY!!!Case Study, Mohr: CHAPTER 2, Neuroscience: Biology and BehaviorIn completing the case study, students will be addressing the following learning objectives:Discuss neuroplasticity and how this concept relates to mental health and mental y explain the importance of interaction between genes and environment, the role of endophenotypes, and the stress-diathesis model of psychiatric l is a 22-year-old college senior whose GPA has declined with this semester s l plans to apply to medical school and thinks that the lower GPA may prevent his acceptance to medical school.For the last 2 weeks, Michael has skipped most classes because he has insomnia and l is now very depressed and has been thinking of took a loaded gun from his father s gun cabinet and then wrote a suicide note to his the last moment, he telephoned 911 and told them of his suicide police came, took the gun away, and then took Michael to the city hospital to be admitted for psychiatric treatment.In the admission interview with the psychiatric nurse, Michael said that his pastor thought that only weak-willed people experienced depression and that it was a punishment for personal sins and the sins of one s l told the nurse that he must be weak-willed and will never be able to accomplish psychiatric nurse explained that multiple factors are the cause of nurse told Michael that one theory holds that an imbalance of neurotransmitters, or chemical messengers of the brain, occurs in ransmitters influence the individual s emotions, thoughts, and subsequent behavior.Recent research implies that neurobiology, heredity, as well as Psychological and environmental factors may be involved in the development and progression of Michael think that the psychiatric nurse s explanation for the cause of depression is more correct than that of his pastor?b.
Michael asks the nurse why he has to have states that he only needs to take a couple of pills to get better.How should the nurse respond to Michael s question and comment?c.Develop an assessment question for each of the following possible causes of Michael s development of depression: Genetic, Environment and Study, MohrCHAPTER 3, Conceptual Frameworks and Theories:In completing the case study, students will be addressing the following learning objective:Give examples of behavioral and cognitive-behavioral student nurse has been assigned a 37-year-old woman admitted to the psychiatric hospital with an anxiety morning, the student notices that the client has a tense facial expression and is walking constantly around the group student walked over to the client and used reflective communication by stating, I see that you have a tense expression and are walking around almost all of the there something that we could discuss? The client replied that she has talked on the telephone to her mother who was keeping her children while she was in the hospital.The client said that her mother had told her that she was not a good mother, and then said, I guess I am a bad mother, but I could never measure up to my mother s expectations. The student has learned that negative self-talk can greatly aggravate anxiety and lead to student decided to use a behavioral intervention with the client and asked the client who is a good artist and why the client liked the artist s student and the client then made a list of activities that the client student taught the client to engage in one of these activities when an unpleasant experience evoked negative thoughts.
The following day, the student decided that the client needed some cognitive restructuring for her relationship with her student taught the client that during discussions with her mother, feelings of incompetence might be experienced when the mother made negative comments.Should i get a college writing help homework geology 100% plagiarism free academic 145 pages / 39875 words us letter size sophomore The client was instructed that if her mother made negative comments about parenting, she was to immediately tell her mother that she was a good parent to her children and terminate the conversation at the first the client be able to learn cognitive restructuring in her relationship with her mother? b.How will engaging in activities help the client with her anxiety?Case Study, MohrCHAPTER 4, Evidence-Based Practice In completing the case study, students will be addressing the following learning objective:Define evidence-based care Best websites to buy an geology homework US Letter Size Writing Sophomore single will engaging in activities help the client with her anxiety?Case Study, MohrCHAPTER 4, Evidence-Based Practice In completing the case study, students will be addressing the following learning objective:Define evidence-based care.
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Jessica, a 17-year-old girl who came with her family from Romania to the United States 10 years ago, is brought to the mental health clinic by her the admission psychiatric interview, the mother stated that Jessica has been saying for 6 months that aliens have been conducting experiments on her and will soon take her in a spaceship to their planet Academic Writing How To Get On The Right Footing the admission psychiatric interview, the mother stated that Jessica has been saying for 6 months that aliens have been conducting experiments on her and will soon take her in a spaceship to their a is often awake at night and roams the house with a hammer and sharp knife, searching for aliens.
Jessica s mother says that she fears that some night Jessica will harm a family member whom she believes to be an mother then said that she did not bring Jessica for psychiatric care earlier because she had heard that much of mental health treatment was quackery and a waste of psychiatric nurse explains to Jessica s mother that all mental health treatment is based on scientific would the nurse best explain that the care Jessica will receive at the psychiatric facility is based on evidence? Give two examples of psychiatric evidence-based care, and explain the scientific evidence that supports your Study, MohrCHAPTER 5, Legal and Ethical Aspects: In completing the case study, students will be addressing the following learning objectives: Identify the basic rights of people with mental illness.
Describe the different types of commitments and states of , a 22-year-old black man, has a diagnosis of schizoaffective has been living at home, but this afternoon he had a physical fight with the neighbors and set a fire in their garage to burn their house With Formula K I have an incredible opportunity, not just to lead their bid to win the British, European and Benelux championships, but also to have an input into developing the kart itself. It gives kids a good opportunity to get some peace and quiet and gives you a chance to get your homework done. To learn more .Describe the different types of commitments and states of , a 22-year-old black man, has a diagnosis of schizoaffective has been living at home, but this afternoon he had a physical fight with the neighbors and set a fire in their garage to burn their house.
His father took him to the local psychiatric hospital and said that he wants an involuntary commitment for Gerald since he will not agree to the hospitalization.The father expressed concern over Gerald s legal psychiatric nurse practitioner recommends to the father that he commit Gerald on involuntarily for emergency care for a period of 72 hours since he is clearly a danger to nurse explains that Gerald will be evaluated to determine if he needs involuntary detention for observation and treatment for a longer period of nurse explains that Gerald will be periodically evaluated, and that when it is determined that he is no longer a danger to others or himself, Gerald will be released from the basic legal rights does Gerald have at the time of this illness?b.Why can Gerald not make the decision for himself about being an involuntary emergency commitment to the hospital?Case Study, MohrCHAPTER 6, CultureIn completing the case study, students will be addressing the following learning objective:Describe skills essential to the implementation of culturally competent Gonzalez is a Mexican National, age 58, who was brought to a health clinic by her adult son Hello world Lewisham Arthouse.Why can Gerald not make the decision for himself about being an involuntary emergency commitment to the hospital?Case Study, MohrCHAPTER 6, CultureIn completing the case study, students will be addressing the following learning objective:Describe skills essential to the implementation of culturally competent Gonzalez is a Mexican National, age 58, who was brought to a health clinic by her adult son.She is complaining that she has had aches and pains all over her body for 2 ez states that her neighbor is a witch who gave her the mal do ojo (evil eye) and cast a spell on her to cause her clinic nurse takes an oral temperature and it is 101 F.
Gonzales to the clinic physician because she believes that the client has es is reluctant to see the doctor and states that the doctor cannot prevent her can the nurse provide culturally competent care to Mrs.Gonzalez and convince her to see the clinic doctor?b.Gonzalez be convinced that there is no spell cast on her to cause her death? Explain your Study, MohrCHAPTER 8,- Nursing Values, Attitudes, and Self-AwarenessIn completing the case study, students will be addressing the following learning objective:Discuss how situational factors can potentially influence the behavior of healthcare professionals toward clients with mental , a 26-year-old Caucasian man, is a client in a state prison system.Joe is admitted to the prison clinic after being involved in a fight in which he sustained a stab wound to the chest that did not penetrate the lungs or major blood clinic doctor on duty was an employee of several years at the doctor showed little compassion for Joe, stating, He is a convicted criminal, and he is just getting back some of what he deserves. The new graduate nurse who was being oriented to the clinic thought that the doctor did not exhibit professional behavior toward clinic nursing supervisor later explained that the doctor was influenced by situational factors.
(Learning Objective: 3)What is a situational factor, and how can this influence the behavior of healthcare workers? Provide an example where a situational factor impacted on your behavior while in a healthcare Study, MohrCHAPTER 9, the Nursing Process in Psychiatric Mental Health CareIn completing the case study, students will be addressing the following learning objective:Apply the nursing process to psychiatric mental health student nurse is assigned to assist the psychiatric nurse with the admission interview of a client at the psychiatric nurse explains to the student that the interview is very important in obtaining a total health history of the nurse should be courteous and respectful of the client to obtain as much information from the client as possible.Assessment information should include the subjective information from the client with the reason for needing treatment, the cause of the present problem(s), and the client s expectation of the outcome of treatment nurse alerts the student to the need to be sensitive to both verbal and nonverbal behavior of the client and to focus on topics that seem important to the can attention to the client s nonverbal cues be of value in an interview?b.Need to purchase homework geology quality a4 (british/european) premium 20 pages / 5500 words academic Why is the interview the most important aspect of the nursing process?Case Study, MohrCHAPTER 10, the Interview and Assessment ProcessIn completing the case study, students will be addressing the following learning objective:Describe essential elements to include in psychiatric interviews and the assessment student nurse is accompanying the psychiatric nurse during the nursing interview and assessment of a newly admitted patient.The psychiatric nurse told the student that preparation with subjective and objective data collection is an important part of the nurse explains that assessment has reference to the interviewer s interpretation and prioritization of all data for the client Roman Bold , serif ; font-size: 14.0pt; font-variant: small-caps; line-height: 115%;”>Excel Homework 1 & Data Set 1: Roman.
The nurse explains that assessment has reference to the interviewer s interpretation and prioritization of all data for the client.The nurse must have self-awareness and self-knowledge to be objective and avoid influencing the responses of the y on the part of the nurse may limit the ability for thorough data collection and y in the nurse may evoke anxiety on the part of the client.The psychiatric nurse stressed that a process recording, or written analysis of the interaction between the client and nurse, is essential for nurses to recognize the effects of their communication style in the assessment process.A review of the client s history is important, and a private setting for the interview is content of the nursing assessment should include the ability and reliability of the client s response to questions of the interviewer and the skill of the nurse in identification of relevant nurse should discuss with the client prior health history, any present illness, and the reason for seeking healthcare at this time.Medication history with compliance and allergies of the client require investigation.
Substance use by the client, past illnesses, and family history need exploration.(Learning Objective: 2)a The student nurse asked the clinical psychiatric nurse practitioner to explain what she considered the most essential part of the assessment should the psychiatric nurse respond to the student s question? Explain your Study, MohrCHAPTER 11, Therapeutic Relationships and CommunicationIn completing the case study, students will be addressing the following learning objectives:List the key ingredients of therapeutic st effective and ineffective communication techniques with student nurses are preparing for psychiatric mental health clinical learning decided to review the assigned reading and lecture notes from their class on therapeutic discussion, the students decided that the elements of respect, genuineness, and caring in talking to clients could lead to a trusting students voiced concern over their ability to develop and maintain a professional and not a social can the student nurses convey the essential elements of a therapeutic relationship in talking to clients?b.How can the student nurses maintain a professional relationship and avoid a social one for clients in psychiatric settings?Case Study, MohrCHAPTER 12, Working with the Multidisciplinary TeamIn completing the case study, students will be addressing the following learning objective:Discuss the role of multidisciplinary teams in the care of clients.A multidisciplinary team meeting is in progress for Cindy, a 21-year-old college student who has recently been diagnosed with had been an excellent student on the dean s list until 2 weeks ago, when she stopped attending classes, stayed in her room with the blinds drawn, and refused to eat because they have poisoned the food. The team includes Cindy s psychiatrist, primary nurse, unit psychologist, social worker, occupational therapist, and a registered and her parents attend the team team members introduced themselves and stated that they would monitor and coordinate the treatment plan for Cindy, evaluate her progress in treatment, and plan for her discharge.
(Learning Objective: 1)How will the multidisciplinary team help Cindy and her family in the treatment of her schizophrenia?Case Study, MohrCHAPTER 13, Individual Therapies and Nursing InterventionsIn completing the case study, students will be addressing the following learning objective:Discuss the goals of therapeutic modalities used with individual , a 16-year-old adolescent, is a high school is on the verge of failing his Spanish his grade fell to a D grade, Frank procrastinated about doing his Spanish homework, postponing it until , saying he was tired, Frank played video games until bedtime and rationalized that he would get up early in the morning and do his often sleeps late and does not have time to complete his Spanish homework.Frank is now very distressed over his grade in the Spanish mother brought Frank to the counselor to help with his counselor suggested a parent-teacher conference to explore any learning difficulties and the possibility of a tutor to help counselor also said that perhaps Frank s mother could supervise the completion of his Spanish homework as the first appeared relieved at these suggestions, and said, That sounds great! Maybe I can improve my Spanish grade and pass the class.Then I won t be a loser! (Learning Objective: 2)a.Using a cognitive-behavioral approach, write three goals for Frank s individual counseling n why cognitive-behavioral therapy (CBT) can be successful for Study, MohrCHAPTER 14, Groups and Group InterventionsIn completing the case study, students will be addressing the following learning objectives:Discuss the advantages of group s the nurse s role in working with , a student nurse, is studying for an upcoming examination in her psychiatric mental health nursing is reviewing group psychiatric therapy and made some practice test questions on this topic.2003 2004 fact book berea college Help Mary study by answering the following does group therapy benefit clients with a psychiatric diagnosis?How can the psychiatric nurse best facilitate a community support group?Case Study, MohrCHAPTER 15, Families and Family InterventionsIn completing the case study, students will be addressing the following learning objective:Describe the family as a system adapting to change.
Wanda, a 17-year-old high school senior, has been rejected by a boy in her chemistry class whom she wanted to date for the senior prom MastersWriters Excel Homework 1 Data Set 1 , a 17-year-old high school senior, has been rejected by a boy in her chemistry class whom she wanted to date for the senior prom.Wanda became severely depressed and attempted suicide with an overdose of s mother found her unconscious and called an emergency ambulance to take her to the emergency department at the local Wanda s recovery, she was in individual counseling, and the psychiatrist referred all family members for counseling 7 Nov 2017 - Advice to have a go at it up your ex spinal column lead pass off with on the whole the explanations you pauperism to a fault sound counsellordirect viewers will chance unalike pages on different relationship issues like how to win back your ex fop or how a man fuck get missy back .After Wanda s recovery, she was in individual counseling, and the psychiatrist referred all family members for counseling.Naomi, her younger sister, refused to go, saying that she did not have a problem and that Wanda was the one who had tried to commit older brother, Matthew, had a similar response and added that Wanda had embarrassed the s parents stated that they would attend and urged both Naomi and Matthew to attend family counseling.
(Learning Objective: 1)Wanda s family must reorganize to survive the disturbance created by the suicide attempt.Describe the family as a system adapting to Study, MohrCHAPTER 16, PsychopharmacologyIn completing the case study, students will be addressing the following learning objective:Discuss the therapeutic indication, mechanism of action, recommended dosage, routes of administration, side effects, potential adverse effects, contraindications, and nursing implications for major psychotropic medications.The student was reviewing the medication record for a client diagnosed with major depressive disorder with psychotic client has been on medications for the past 12 years, has exhibited many side effects, and experienced multiple medication this admission, the client has developed abnormal movements of the tongue, a masklike face, shuffling gait, and client is taking a selective serotonin reuptake inhibitor (SSRI) and an antipsychotic.Identify the medication classification that may be responsible for the side effects and explain your s the most important nursing implication related to the side effects the client is n why psychiatric clients experience multiple side effects and often need medication Study, MohrCHAPTER 17, Integrative TherapiesIn completing the case study, students will be addressing the following learning objective:Construct a list of complementary and alternative therapies used to treat specific psychiatric mental health ie Alin has been diagnosed with major depression and has recently been placed on ie uses herbal medication and has always been interested in complementary and alternative medicine (CAM).She asks the nurse practitioner what CAM therapies might be effective for listing the CAM therapies that might be helpful with the treatment of depression and providing a description of how the therapy might be CAM therapy might be harmful for an individual with depression being treated with antidepressants? Why?Case Study, MohrCHAPTER 18, Somatic TherapiesIn completing the case study, students will be addressing the following learning objectives:Identify the nurse s role in caring for people undergoing electroconvulsive therapy (ECT) and their be the procedure for ECT, its indications, and its potential side Abrams, a married 45-year-old African American client, is admitted to the hospital for severe depression.
Although Julie is taking her antidepressant medication, she seldom leaves her bed, sleeps most of the time, and has refused to eat for 6 psychiatrist has decided that ECT treatments are necessary to improve Julie s , Julie s husband, is alarmed to learn that Julie will receive psychiatric nurse practitioner explains the ECT procedure and treatment that Julie will receive.Abrams asked the nurse practitioner what ECT is, how it will help Julie, and if there will be any harmful effects for information will you provide to concerning ECT, how it works, and any adverse effects?b.Prioritize the nursing care responsibilities for Study, MohrCHAPTER 19, Inpatient Care SettingsIn completing the case study, students will be addressing the following learning objectives:Define the various levels of care within inpatient treatment n elements and methods of fostering a therapeutic Woods has been admitted to an inpatient psychiatric facility due to a resurgence of his manic symptoms because he has not been taking his psychiatric sister has been trying to supervise Robert, who lives in a small apartment a few miles sister is very frustrated and feels she cannot continue to monitor Robert successfully any longer.She asks what kinds of inpatient care options are available to assist in caring for Robert and voices concern about Robert s noncompliance with his psychiatric the levels of inpatient care and offer some suggestions to Robert s sister concerning ongoing psychiatric nurse is responsible for medication administration for Robert.How can a therapeutic environment and strategies assist the nurse in ensuring that Robert takes his psychiatric medications?Case Study, MohrCHAPTER 20, Community and Home Psychiatric CareIn completing the case study, students will be addressing the following learning objectives:Identify the levels of prevention of mental be potential interventions for primary, secondary, and tertiary prevention of mental health is a 10-year-old student in elementary teacher is concerned that Jim may need psychological counseling and possibly psychiatric care since the recent suicide of his had formerly been an outgoing child who had excellence performance in schoolwork.
Jim is now withdrawn, does not socialize, and is doing poor work in school.Need to get a custom geology homework academic us letter size premium 33 pages / 9075 words Jim s mother has not responded to a call from the teacher to come to school for a conference to explore ways to help teacher consults the school nurse for assistance.(Learning Objectives: 1, 2)Identify how the school nurse can help Jim and his family in the prevention of mental illness In the limited time before you would begin surgery, you need to consider the cases; the technical issues involved also, and write a Memorandum for theHer parents will do anything for her, and they have offered to donate $2 million to the hospital\'s construction of specialized facilities if she can get a heart soon enough.(Learning Objectives: 1, 2)Identify how the school nurse can help Jim and his family in the prevention of mental illness.
Discuss each level of prevention in your Study, MohrCHAPTER 21, Forensic Psychiatric NursingIn completing the case study, students will be addressing the following learning objectives:Describe the nurse s role in the forensic be characteristics of psychiatric and mental health concerns specific to forensic populations, addressing implications for nursing care.
Two student nurses are assigned to the forensic unit for their psychiatric learning are both slightly apprehensive but want to learn from the nursing staff the role of the nurse in forensic psychiatric nursing Best websites to order a homework geology Formatting Senior US Letter Size are both slightly apprehensive but want to learn from the nursing staff the role of the nurse in forensic psychiatric will the nurse manager tell the students about the role of the nurse in forensic psychiatric nursing?b /coursework/help-me-write-a-custom-intellectual-property-coursework-double-spaced-4-pages-1100-words-us-letter-size.What will the nurse manager tell the students about the role of the nurse in forensic psychiatric nursing?b.In addition, what do the student nurses know about the difference between the traditional mental health setting and the forensic milieu?Case Study, MohrCHAPTER 22, Sleep DisordersIn completing the case study, students will be addressing the following learning objectives:Explain normal changes in sleep across the human , a 12-year-old middle-school student, is having problems with his cannot sleep until late at night and has been unable to arrive at school until later in the morning due to excessive morning sleepiness and difficulty is concerned and depressed over this considerable insomnia with subsequent tardiness in arriving at school.The teacher referred James to the school psychologist, who recommended psychological testing to determine if James has a learning results of the test show that James does have a learning disability and needs special placement for his English pediatrician recommended that James have a study at a sleep the test, James was given a sleep schedule and was able to return to his normal sleep schedule.His schoolwork improved after he was able to achieve adequate did James sleep schedule change from his normal routine? Revised Question: What factors could have contributed to the alterations in James sleep pattern and subsequent insomnia? b.
How do sleep patterns change for people over the lifespan?Case Study, MohrCHAPTER 23, Anxiety DisordersIn completing the case study, students will be addressing the following learning objectives:Explain what is meant by anxiety fy symptoms of anxiety is a 33-year-old housewife who has been saying that she is worried but cannot explain why she feels and her husband have two children, and the family members are healthy and financially secure and have no identified has resigned from her volunteer position at her children s school, stating that she is always had great pride in keeping an immaculate home and preparing nutritional meals for her the past month, she has neglected her housework and seldom cooks meals for her family.
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For the past 3 weeks, Amy has told her husband that she is afraid that something bad is going to happen to us. Amy is now afraid for her children to leave the home to attend school and for her husband to go to his office to is an anxiety disorder, and does Amy have this disorder?b.What other differential diagnoses would you consider? OR What predisposing factors or etiologies are associated with anxiety disorders?Case Study, MohrCHAPTER 24, Somatoform, Dissociative, and Sexual DisordersIn completing the case study, students will be addressing the following learning objectives:Describe possible etiologies of somatoform n the features of various somatoform fy the most common interdisciplinary goals and treatments for clients with somatoform disorders Best website to get a college writing services computer science paper a4.What other differential diagnoses would you consider? OR What predisposing factors or etiologies are associated with anxiety disorders?Case Study, MohrCHAPTER 24, Somatoform, Dissociative, and Sexual DisordersIn completing the case study, students will be addressing the following learning objectives:Describe possible etiologies of somatoform n the features of various somatoform fy the most common interdisciplinary goals and treatments for clients with somatoform disorders.
Roger is a 60-year-old, twice-divorced, Hispanic man who is only support system is two adult sons with whom he has a distant has medical insurance from his retirement and constantly complains that he has some medical doctor shops by seeing different doctors for his various complaints.
Roger is always asking the doctors if he needs the past 5 years, he has undergone an exploratory laparotomy for complaints of abdominal pain, three colonoscopies for complaints of alternate diarrhea and constipation, and numerous diagnostic tests for his many physical tests and procedures have negative findings for any physical remains convinced that he has multiple problems that the doctors are unable to are somatoform disorders, and what are the types of this disorder?b.Based on the information given in the case study, what contributing factors do you believe Roger has? What other factors, not included, could contribute to somatoform disorders? Name the appropriate disciplines involved in the treatment of Roger and the interdisciplinary goals and interventions in treating his somatoform Study, MohrCHAPTER 25, Personality DisordersIn completing the case study, students will be addressing the following learning objectives:Explain what is meant by personality personality the nursing process to the care of clients with personality s, a 29-year-old white man, has been admitted to the psychiatric s does not seem depressed and openly discusses that he had attempted suicide after he had burned his employer s office and truck 27 Aug 2017 - Professional Academic Help. Starting from $7.98 per page. Get DISCOUNT Now! Purchase Thesis Statement Online - Best in California, Essay On Law And Order Svu. Is there a website that can do my homework for me cheapest customized dissertation uk eu cv writing service north london..Based on the information given in the case study, what contributing factors do you believe Roger has? What other factors, not included, could contribute to somatoform disorders? Name the appropriate disciplines involved in the treatment of Roger and the interdisciplinary goals and interventions in treating his somatoform Study, MohrCHAPTER 25, Personality DisordersIn completing the case study, students will be addressing the following learning objectives:Explain what is meant by personality personality the nursing process to the care of clients with personality s, a 29-year-old white man, has been admitted to the psychiatric s does not seem depressed and openly discusses that he had attempted suicide after he had burned his employer s office and truck.Charles told the student nurse that he had been mad at his boss because he was a slave driver and shows no remorse for destroying his employer s office and s has limited contact with his mother, who is his only family s is divorced and states that his ex-wife just got pregnant so that he would marry her.Write me college homework geology without plagiarism oxford rewriting 24 hours us letter size They have one child, and he is several months behind in child support nbd-dhofar.com/term-paper/need-to-buy-a-general-studies-term-paper-business-cbe-a4-british-european-100-plagiarism-free.Write me college homework geology without plagiarism oxford rewriting 24 hours us letter size They have one child, and he is several months behind in child support.Other information that Charles gave the student nurse in an interview included that he was an ex-marine but had a dishonorable discharge due to stealing some extra government supplies that he said no one needed.
In the treatment team, the psychiatrist stated that Charles was not suicidal and diagnoses him with antisocial personality disorder 11 12 Intellectual Knowledge the treatment team, the psychiatrist stated that Charles was not suicidal and diagnoses him with antisocial personality disorder.What is an antisocial personality disorder, and what are its symptoms?b.Applying the nurse process to the treatment of Charles, what specific interventions would be most appropriate for the individual with antisocial personality disorder?Case Study, MohrCHAPTER26, Eating DisordersIn completing the case study, students will be addressing the following learning objectives:Discuss possible etiologies for eating entiate anorexia nervosa, bulimia, and binge eating is a 20-year-old college student who is slightly overweight 2 Aug 2017 - I need help with my Graduate level Statistics class, psychology homework help.I have two-separate assignments that I need done by this Saturday.Both assignments are very-short in length, so the payout will not be that high.Anna is a 20-year-old college student who is slightly is neat and orderly and considered to be a has a sister, Margie, who is 2 years younger and has always been very slim /research-proposal/ has a sister, Margie, who is 2 years younger and has always been very thinks that she is ugly and that her sister is began a daily diet of 500 calories with a rigid exercise program to lose weight rapidly.Anna s weight decreased below the normal amount for her continued to diet by reducing her daily caloric intake to 250 calories and then to 100 calories and began to look s parents asked her to increase her food intake, but Anna said that she was still fat and ugly.
Anna s parents intervened by taking her to a psychiatrist for s diagnosis was anorexia nervosa.What is the probable cause of Anna s eating disorder?b.What specific eating disorder does Anna most likely have?Case Study, MohrCHAPTER 27, Depressive DisordersIn completing the case study, students will be addressing the following learning objectives:Analyze different theories about the etiology of depressive s interdisciplinary treatment modalities for clients with depressive , a 37-year-old bank employee, has developed a depressive was engaged and planned to be married next fianc © suddenly broke off their engagement and told Sarah that he had accepted a job in Europe and was moving there immediately.Sarah s depression began shortly after this and has progressed to the point that she is now seeing a psychiatrist for s family has a history of depressive father has experienced recurrent episodes of depression for 20 s paternal aunt and great uncle both committed fy and discuss the major theories for the etiology of depressive different interdisciplinary treatment modalities would be appropriate to incorporate into the plan of care for Sarah?Case Study, MohrCHAPTER 29,In completing the case study, the student will be addressing the following objectives:Identify signs and symptoms of n the subtypes of Mullins is a 31 years old client whose diagnosis is schizophrenia, disorganized is in the state mental hospital for a long term student nurse is escorting Joyce and a group of patients to an art class.Suddenly, Joyce stop and look down at the sidewalk and then says there are many brains down there on the sidewalk later, the student is reviewing the symptoms of schizophrenia for a nursing care ng objectives:a Discuss the symptoms of schizophreniab Compare and contrast schizophrenia, disorganized type to other types of Study, MohrCHAPTER 30, Substance Use DisordersIn completing the case study, students will be addressing the following learning objectives:Identify the two main components of interdisciplinary treatment for clients with substance abuse n the importance of recognizing co-occurring , a 23-year-old unemployed man, is addicted to lives with his mother and sister and has been stealing money from them to pay for his mother persuaded John to voluntarily commit himself to the hospital for treatment of his substance abuse.
In the initial assessment interview, the nurse learns that John began smoking marijuana at age 19 and occasionally consumes said that he started on cocaine after his father, who had a history of alcoholism, committed says that he began to feel anxious then and still has periods of is cooperative with his treatment program and stated that he wants to get completely off drugs and get a good job to help his mother and also said that if he experienced anxiety, he would take a stiff drink like his father had done when he was anxious.How can the psychiatric staff counsel with John to avoid his turning to alcohol as substance?b.With what other co-occurring disorders could John be diagnosed?Case Study, MohrCHAPTER 31, Cognitive DisordersIn completing the case study, students will be addressing the following learning objectives:Identify clinical features or behaviors associated with cognitive e possible etiologies of various cognitive disorders, especially Alzheimer s Lunsford is a 78-year-old widower who lives with his daughter.Lunsford has been increasingly irritable and has lost many personal items during the past few , he returned from a trip around the neighborhood to say that he had lost his truck and could not remember where he parked rd declared that the telephone was broken when he could not remember how to dial the number of his friend.Best website to purchase a geology homework academic platinum bluebook 105 pages / 28875 words He also asked his daughter when they would have breakfast one morning an hour after they had eaten rd s daughter made an appointment for him to be seen by his are the clinical features or behaviors associated with cognitive disorders?b How to buy an geology homework American 1 hour single spaced are the clinical features or behaviors associated with cognitive disorders?b.
What possible etiologies can be applied to rd s new diagnosis of Alzheimer s disease?Case Study, MohrCHAPTER 32, Anger and AggressionIn completing the case study, students will be addressing the following learning objectives:Discuss various interventions to manage anger and broad factors that can increase risk for anger, aggression, and s, a 49-year-old African American client, is a newly admitted patient to the psychiatric s has the dual diagnoses of Bipolar I and Borderline Personality s refuses to abide by the unit rules of being out in the day room after breakfast and is staying in her room help me write college education dissertation Graduate US Letter Size s refuses to abide by the unit rules of being out in the day room after breakfast and is staying in her treatment level permits her to make two telephone calls daily, and Frances is demanding unlimited access to the telephone Frances is becoming increasingly frustrated and angry at the staff and has used some expletives in telling them what she thinks of the unit primary nurse attempts to defuse Frances anger but finally becomes frustrated and angry herself, and she commented to Frances that if she did not cooperate with unit rules, she could expect to be in the hospital longer than usual.Frances then lunged at the nurse, striking her on the head with her s was taken to the calming room and given a medication for her aggressive therapeutic communication techniques could the nurse have used with Frances to prevent her from becoming angry and aggressive?b.What factors could have contributed to an increase in Frances level of anger?Case Study, MohrChapter 33, Violence and AbuseIn completing the case study, students will be addressing the following learning objectives:Discuss the effects of maltreatment on child be an organizational model for the multiple conditions that support community violence.Nita s mother died when she was an father married a young woman 1 year after the death of Nita s mother.A baby girl was born to the stepmother 2 years later, followed by the birth of a baby boy 4 years stepmother showed much preferential treatment to her own children, while she basically ignored Nita except to routinely ridicule her.
The most difficult household chores were given to Nita, with no chores given to her own stepmother frequently severely punished Nita without ly, the stepmother insisted that she treated Nita and her daughter alike in every r, she always praised her own daughter, while continuing to verbally abuse s father put his wife in full charge and had almost no interaction with Nita.He, too, showed preferential treatment for his two children with his second Nita was 14 years old, her aunt insisted that Nita move to live with aunt was very nurturing, and Nita s life improved was very intelligent and excelled in heless, she was slow to make close friends and lacked confidence in social situations.Nita became a successful professional as a college appeared afraid to form a close relationship and was 31 years old when she maltreatment of children a problem, and what are the effects on their development and functioning?b.Discuss the Ecological Model of Violence and how it applies to the case of NitaCase Study, MohrCHAPTER 34, Suicide and Suicidal BehaviorIn completing the case study, students will be addressing the following learning objectives: List the warning signs of n factors contributing to suicidal risk, including the relationship to culture and ethnicity, age, and gender.Kate, a 35-year-old white woman, who moved to another city to take a new has a depressive disorder and has no friends in her new city; her only family support is one has lost her new job and is without insurance or funds to purchase her prescribed formerly had excellent credit but now realizes that since she has no money, she may have to declare bankruptcy.
Kate became extremely depressed, purchased a gun, wrote suicide letters to her friends, and decided to commit then called 911 just before pulling the trigger on the r, the gun jammed and did not eject bullets.A policeman came to her apartment in response to the 911 call and took Kate to the local psychiatric hospital.After discharge, Kate went to live with her brother.Kate s brother is concerned that she is a continued suicide risk.
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What factors could have contributed to Kate s desire to commit suicide?.Case Study, MohrCHAPTER 35, Crisis InterventionIn completing the case study, students will be addressing the following learning objectives:Differentiate maturational, situational, and adventitious the nursing process to a client, family, or community in crisis Academic Writing An Advice to Get Your Ex Back is to Avoid Begging nbsp.Case Study, MohrCHAPTER 35, Crisis InterventionIn completing the case study, students will be addressing the following learning objectives:Differentiate maturational, situational, and adventitious the nursing process to a client, family, or community in crisis.Frances Gordon is a 42-year-old divorced school 20-year-old daughter, Sarah, has developed schizophrenia and has withdrawn from college .Her 20-year-old daughter, Sarah, has developed schizophrenia and has withdrawn from youngest daughter, Glenda, is a 19-year-old unmarried mother who is living at has just given birth to a baby boy who has a heart defect.
The baby s father refuses to pay for any of the healthcare costs how to order custom english literature dissertation British 4 days 146 pages / 40150 baby s father refuses to pay for any of the healthcare s dire economic situation is very stressful to ex-husband refuses to help financially, and the bank has refused a second loan to you differentiate between maturational, situational, and adventitious crises? What type of crisis is Frances experiencing?Discuss how to apply the nursing process in the care of Study, MohrCHAPTER 36, Pediatric ClientsIn completing the case study, students will be addressing the following learning objectives: Identify factors that contribute to psychiatric disorders in children and s general interventions available for children or adolescents with psychiatric disorders.Jeremy is a 9-year-old child hospitalized in the children s unit of a psychiatric s biological father died 2 years ago, and the mother now has a live-in boyfriend who has repeatedly sexually abused s teacher reported this abuse to the Children s Protective Services, and Jeremy was removed from the s biological mother has experienced a depressive disorder for several years.Since he has been living with his foster parents, Jeremy has exhibited numerous problems of angry outbursts with physical violence toward other children living in his foster foster parents are seeking help from the psychiatrist to continue to care for Jeremy in their fy some of the factors that contribute to psychiatric disorders in children and interventions would be most appropriate in the treatment of Jeremy?Case Study, MohrCHAPTER 37, Older Adult ClientsIn completing the case study, students will be addressing the following learning objectives: Differentiate communication approaches when working with older s attitudes that many in society hold toward older Brewster is a 79-year-old white widow who is admitted to the hospital for diagnostic er has been feeling fatigued with slight depression that has been increasing for the past 2 weeks prior to admission.The student nurse is assigned to care for Molly and explain some of the preparation for the diagnostic are some effective communication techniques that the student nurse should use in therapeutic communication with s different societal attitudes that individuals may have in reaction to someone in Mrs.Brewster s Study, MohrCHAPTER 38, Homeless ClientsIn completing the case study, students will be addressing the following learning objectives:Discuss factors that contribute to homelessness in people with mental s barriers that prevent homeless people with mental illness from receiving care measures to promote , a 39-year-old unemployed homeless male who has paranoid schizophrenia, was brought to the psychiatric hospital by the ns called the police because Kevin was in the street directing pedestrians and traffic in opposition to the traffic lights and verbally abusing everyone who did not follow his is known to the police since he is often homeless, and states that his family does not want also has a history of poly substance abuse with alcohol, heroin, and crack cocaine, and he has been jailed for public intoxication several nursing assessment reveals that Kevin has not been taking his prescribed psychotropic medications for 3 weeks.
Kevin states that he does not have any money, and he does not remember where to go for mental health care (Learning Objectives: 2)a.What are the major factors that contribute to Kevin s frequent homelessness?b.What barriers does Kevin face in the receiving treatment? How can these barriers be addressed?Case Study, MohrCHAPTER 39, Clients with Medical IllnessesIn completing the case study, students will be addressing the following learning objectives:Identify common medical conditions that can have accompanying psychiatric complications or be general nursing implications for clients experiencing psychiatric disorders that are intertwined with other nonpsychiatric , a 27-year-old white single mother of two preschool-age children, is in the psychiatric hospital for treatment of anxiety and has a cardiac condition that requires is concerned over the financial cost of the surgery and caretakers for her children while she is in the hospital and undergoing is also worried that she may be unable to continue in her present employment as a salesperson due to the physical demands of this position.Carla s case is representative of many patients with medical conditions who develop psychiatric symptoms.What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?b.
What are some nursing implications for Carla that address both the psychiatric and nonpsychiatric illnesses? Sitemap 2013 - 2017 Contact