Community Health Nursing Caring For Children With Type 2...

Community Health Nursing: Caring For Children with Type 2 Diabetes Mellitus #45384147, #21048146 University of British Columbia Nursing 321 Section 001 November 7, 2016 Wendy Andrews Community Health Nursing: Caring For Children with Type 2 Diabetes Mellitus Type 2 Diabetes Mellitus (T2DM) is one of the fastest growing chronic diseases affecting children ages 6 to 11 worldwide (Montgomery, Johnson Ewell, 2015). This recent development is occurring at an alarming rate, with numbers expected to quadruple by the year 2050 (Montgomery, et al., 2015). Without timely intervention from the healthcare system, this condition could have a devastating effect on the health outcomes of children across North America. Many studies have identified some common factors that put youth at major risk for developing T2DM, with childhood obesity, physical inactivity, low socioeconomic status, and lack of knowledge and access to healthy food choices among the leading causes (Dean Sellers, 2015; Montgomery et al., 2015). There are many opportunities for Community Health Nurses (CHNs) to play a role in health promotion within this population. This paper will address the social factors contributing to adolescent T2DM, the current role of CHNs in addressing this condition, and ways to ensure these children have adequate access to health care. History and Background Prior to 1985, very few cases of T2DM were reported in children, withShow MoreRelatedCoping with Chronic Illness2699 Words   |  11 Pagesmagnitude of chronic illness in Egypt. o Theories of caring in relation to chronic illness. o Effect of chronic illness on patient and relatives. o Health promotion strategies. 2. Definition of diabetes. 3. 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Shea, PhD, RN, FAAN Novemeber 4, 2012 Japanese Health Beliefs and Practices As the Japanese began migrating to the United States in 1885, throughout the decades, the cultural integration and assimilation of the western culture has been embedded into the Japanese Americans. Early traditional Japanese immigrants are calledRead MoreOrems Theory7680 Words   |  31 Pagesself-care that is essential to their health and life. A study of predictors of self-care was conducted to provide a stronger evidence base for nursing practice with these youth. Orems theories of self-care and self-care deficit were tested to explain and predict the universal and health deviation self-care of 123 adolescents with CF. Four dimensions of self-care agency emerged as predictors of universal self-care, two of which were also predictive of health deviation self-care. Seventy percent ofRead MoreCommunity Acquired Pneumonia18251 Words   |  74 Pagescommon infectious diseases prevalent nowadays and affects all ages. 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The Return Shadow Souls Chapter 35 Free Essays

â€Å"Nevertheless† – Damon’s eyes took on a steely glint – â€Å"without the amulet my assistant and I will not perform.† â€Å"But – with it you will? I say, are you saying that you lost your amulet here?† â€Å"As a matter of fact, yes. Just around the time the party arrangements were being set up. We will write a custom essay sample on The Return: Shadow Souls Chapter 35 or any similar topic only for you Order Now † Damon flashed a beautiful, haunting smile at the young vampires and then turned it off suddenly. â€Å"I had no idea I would have your help, and I was trying to find a way to get an invitation. So I took a look around to see how the place would be laid out.† â€Å"Don’t tell me it was before the grass was rolled,† someone said apprehensively. â€Å"Unfortunately, yes. And I was given a psychic message, which told me that the k – the amulet is buried somewhere here.† There was a chorus of groans from the crowd. Then there were individual voices raised, pointing out the difficulties: the rock-hardness of the rolled grass, the many ballrooms with their many floral arrangements in soil, the kitchen garden and flower gardens (which we haven’t even seen yet, Elena thought.) â€Å"I realize the virtual impossibility of finding this,† Damon said, taking the half of the fox key back into his hand and making it disappear neatly by passing it near Elena’s hand, which was ready to receive it. She now had a special place for it – Lady Ulma had seen to that. Damon was saying, â€Å"That is why I simply said no at the beginning. But you pressed me, and now I’ve given you the full answer.† There was some more grumbling, but then people began walking out in ones and twos and threes, talking about the best places to start looking. Damon, they’re going to destroy Bloddeuwedd’s grounds, Elena protested silently. Good. We’ll offer all the jewels you three girls have on you, as well as all the gold I have on me, as a recompense. But what four people can’t do, maybe a thousand can. Elena sighed. I still wish we’d had the chance to talk to Bloddeuwedd. Not just to hear her speak, but to ask her some questions. I mean what reason would a beautiful blossom like her have to protect Shinichi and Misao? Damon’s telepathic answer was brief. Well, let’s try the top rooms, then. That was where she was headed, anyway. They found a case of crystal stairs – quite difficult to locate when all the walls were transparent, and frightening to ascend. Once on the second floor they looked for another one. Eventually Elena found it, by stumbling over the first step. â€Å"Oh,† she said, looking from the step, which now showed itself through a line of red across its front edge, to her shin, which showed the same damage. â€Å"Well, it may be invisible, but we aren’t.† â€Å"It’s not quite invisible.† Damon was channeling Power to his eyes, she knew. She’d been doing the same – but these days she wondered which of them had more of her blood in them: him or her? â€Å"Don’t strain yourself, I can see the steps,† he said. â€Å"Just shut your eyes.† â€Å"My eyes – † Before she could ask why she knew why and before she could scream he had picked her up, his body warm and solid and the only solid thing anywhere around. He headed up the stairs holding her so that her dress was out of the way of the blood droplets that fell freely into space. For someone afraid of heights, it was a wild, terrifying ride: even though she knew Damon was in top condition and would not drop her and even though she was certain he could see where he was going. Still, left to herself and her own volition, she would never have made it farther than the first stair. As it was, she didn’t even dare wiggle much in case she threw Damon off balance. She could only whimper and try to endure. When, an eternity later, they reached the top, Elena wondered who would carry her down, or if she would be left here the rest of her life. They were confronted by Bloddeuwedd, the most enchantingly inhuman creature Elena had yet seen. Enchanting†¦but odd. Was there not a slight primrose pattern to her hair in back and on the sides? Wasn’t her face actually the shape of an apple-blossom petal as well as having the petal’s faint bloom? â€Å"You are in my private library,† she said. And, as if a mirror had cracked, Elena came free of the last of Bloddeuwedd’s glamour. The gods had made her out of flowers†¦but flowers don’t speak. Bloddeuwedd’s voice was toneless and flat. It ruined the image of the flower-made girl completely. â€Å"We’re sorry,† Damon said – naturally not at all out of breath. â€Å"But we’d like to ask you some questions.† â€Å"If you think I will help you, I will not,† the flower-petal girl said in the same nasal tone. â€Å"I hate humans.† â€Å"But I am a vampire, as you have surely already discerned,† Damon was beginning, laying the charm on thick, when Bloddeuwedd interrupted him. â€Å"Once a human, always a human.† â€Å"I beg your pardon?† Damon’s loss of control might have been the best thing that could have happened, Elena thought, trying to keep behind him. He was so clearly sincere about his scorn for humans that Bloddeuwedd softened a little. â€Å"What did you come to ask?† â€Å"Only if you had seen one of two kitsune lately: they’re brother and sister and call themselves Shinichi and Misao.† â€Å"Yes.† â€Å"Or they might – I’m sorry? Yes?† â€Å"The thieves came to my house at night. I was at a party. I flew back from the party and almost caught them. Kitsune are hard to catch, though.† â€Å"Where†¦Ã¢â‚¬  Damon swallowed. â€Å"Where were they?† â€Å"Running down the front stairs.† â€Å"And do you remember the date that they were here?† â€Å"It was the night that the grounds were made ready for this party. Stone rollers went over the grass. The canopy was erected.† Weird things to do at night, Elena thought, but then she remembered – again. The light was always the same. But her heart was beating fast. Shinichi and Misao could only have been here for one reason: to drop off half of the fox key. And maybe drop it in the Great Ballroom, Elena thought. She watched dully as the entire outside of the library rotated, almost like a giant planetarium, so that Bloddeuwedd could pick out a globe and place it in some contraption that must make the music play in various rooms. â€Å"Excuse me,† Damon said. â€Å"This is my private library,† Bloddeuwedd said coldly against the swelling of the glorious ending to the Firebird Suite. â€Å"Meaning now we must leave?† â€Å"Meaning now I am going to kill you.† How to cite The Return: Shadow Souls Chapter 35, Essay examples

Goals and Procedure of Mental Health Assessment Samples for Students

Question: How Do Goals And Procedure Of Mental Health Assessment? Answer: Introduction: World Healthcare organization has described the psychological well being of a person as a state of complete mental, physical and social well being and not merely depends on the presence or absence of an infirmity or a disease (Paniagua Yamada, 2013). With the increasing trends of globalization, the number of mental ailments is found to be increasing proportionally. Present scenario in Australia shows that one in every five Australians are suffering from mental illness. It has been designated as one of the third leading cause of disability burden in the nation and this can be backed up by a fact that accounts for about 27% of the total years lost in disability. National survey conducted has shown that only 35% of the mentally affected individuals who sought for health service and only 29% consulted a GP within 12 months of the survey (Heilburn et al., 2014). Before it can be seen that the rise of mental health patients are taking place but awareness for seeking healthcare services ar e very less. Mental health disorders not only destroys quality of the life of an individual but also results her to face different social issues that makes the matter worse as mental disorder stigma still pre ails in the society in spite of the governments initiatives to spread awareness. Therefore the essay will portray the responsibility of the health care professionals in assessing the mental health of people affected by mental health disorders, spread awareness, helping them with proper interventions, managing risks that may compromise their lives and other similar aspects. Approach for mental health assessment: Currently global mental health care has focused their aim in the improvement of care for the individuals who are suffering from health care. However, evidence based articles suggest that proper mental health assessment is not only focusing on the issue faced by the mental health patient but should include a comprehensive approach that would look all over into the subjective well being of the individual (Rayner et al., 2014). Proper mental health assessment would also include the nurse to perceive self efficacy, intergenerational dependence, autonomy of the patients. It is also the responsibility of the nurse to recognize the ability of a mental health patient to understand and evaluate the mental health patients intellectual as well as emotional potential. Effect of mental health on individuals: People who have developed mental illness are vulnerable to a greater risk for decreased quality of life. Not only that they face educational difficulties, lowered productivity as well as severe poverty due to inability to perform work. Such patients are also not able to communicate socially and go through a phase of social exclusion which in turn has different negative impacts on their lives increasing their intensity of their disorders. They become more vulnerable to be abused by perpetrators and also suffer from several additional health problems (Rogers Pilgrim, 2014). It had been seen in many cases that mental health disorder has affected the educational initiatives and this in turn prevent them from pursuing careers and therefore their future does not turn out to be bright. Researchers have seen that those people who have developed the disorder had lesser evidences of completing schools and colleges in comparison to their friends who have no mental disorders. Moreover mental di sorders affect lives of human beings in such a way that is leads to lowered productivity in the employment sector which harms their career resulting in facing economic crisis. Moreover all of these result in a huge impact on the personal lives of such mental health people. This in turn makes them to compromise different aspects of personal lives and often emotional tensions start up in normal family lives. All of these, sum up to situations that make the mentally ill patient more vulnerable to self harm and substance abuse letting to complete destruction of a quality life that is the birthright of every human being (Patel Saxena, 2014). Effect of mental health on families and carers: Managing mental health patients has often been a burden to the carers and family persons. This is mainly because as they are caring for the mentally ill patient and are giving much off their physical effort, they are themselves getting stressed both physically as well as mentally. Excessive pressures on the family results in decreased economic condition of the family and often there is reduction in the earning of household with increased risk of poverty. Family members may thereby pass through severe chronic stress that may occur at physical level as well as emotional level while caring for their family members. Effect of mental health disorder on society: Not only at the family level, have mental health patients also contributed to the burden of national economies and impeding international public health efforts. Although societal impacts vary according to cultures and nations, untreated mental health issues develop significant costs to society. WHO have also estimated that when mental illness as well as unemployment due to mental illness is together take into account, they result in a gross total loss of few billions to the nation which is a indeed a huge sum of money (Seligman et al., 2014). Although majority of the mental health patient do not exhibit harmful dangerous behaviors, but there are some patients who might become vulnerable to show aggressive behavior and may act as a threat to society due to their violence and incarceration. Different types of mental health disorders: A large number of mental health disorders can be listed that affect the lives of many individuals in Australia. It is very important for the nurse to conduct proper mental health assessment of the individual to indentify exactly the symptoms and the disorder that he is facing. Therefore, she needs to develop an experience that will help him to handle each patient effectively (Baker et al., 2016). Different cases of mental health diseases can be allocated for her who might include severe alcohol dependency or alcohol abuse. Delirium is another case of mental health disorder which can be identified by the patients illusions, restlessness, incoherence and others. She may also face eating disorders which are very common among teenagers and young adults nowadays. Besides psychosis, anxiety, bipolar disorders, mood disturbances, schizophrenia are some of the disorders whose cases are recently reported to be increasing in different states of Australia with the increase of different types of stresses over life and lifestyle and expectation from every individual (Switzer, Dew Bromet, 2013). Goals and procedure of mental health assessment: The goal of a mental healthcare nurse should include providing a comprehensive assessment that will include the diagnosis and panning of the therapeutic interventions. The treatment will only be planned after conducting out proper evaluation of the every aspect of the mentally ill patient and consulting with different healthcare professionals and the family members. Conducting of the mental health assessment and taking of the history of the patient is important to plan out the interventions (Forbes Watt, 2015). The nurse has to gather sufficient information about the patient so that she can clearly visualize the patients problem in order to take steps. A proper list of goals that are needed to be attended by the nurse for correct mental health assessment of the patient is to establish a therapeutic alliance with the patient. Secondly the nurse should also collect the right and correct data pertaining to the patients mental state. This is important for the nurse to make formulation f rom it. Thirdly it is extremely important for the nurse to develop understanding of the problems of the patients. Depending upon this the nurse would develop a management and treatment plan which would be done in collaboration with the patient. The last goals of the nurse would be to decrease the impact of the psychiatric symptoms of the patient so that he can gradually recover from this phases.(Russell et al., 2016) Risk assessment: The nurse should also conduct a risk assessment. The nurse should collaborate with experienced professionals to devise plan after proper agreement from every of the professionals in case of patients in case of patients who shows violence and aggression. The risk assessments of the nurse should include considering the supports that are available to the patient (Brownie et al., 2014). It also include considering whether any changes in the level of functioning in general. The risk assessment also involves assessing that whether the individual had become impulsive, distressed or desperate. The nurse should ensure that whether any drug or alcohol issues were involved or not. The assessment would also involve evaluating the different types of behaviors that deems whether the patient is at risk. Procedure and protocol: The protocol that the nurse would follow to develop a proper mental health assessment form includes assessing the action of the patient. In order to understand the action of the patient, the nurse would clearly evaluate the appearance and behavior of the patient. She should also include the speech of the patient, mood and effect, form of thought, content of thought, perception, insight as well as cognition of the patient (Lereya et al., 2015). This will be known by the nurse from the action of the patent whom she is treating. Te next step after evaluating his action, the nurse needs to understand the patient history and formulate idea from it. This is done by presenting physical findings; history of the mental health program, different medications that patient was taking, personal background of the patient, his personal affairs, alcohol and drugs, sexual health and forensic history and others (Yaghmei, Koudelka Simpson, 2013). The nurse should develop a proper collaborative care by consulting with different professionals like GP, case manager, psychiatrist and others. The nurse may also develop a psychosocial framework in order to assure that she is planning the correct interventions. This framework includes assessment of the physical phenomena, functional performance, interpersonal communication, social resources as well as relationship with society and other environment. Risk assessments for self harm usually includes self harm or suiciding tendency, looking over aggression and harm to others. After proper legal considerations like duty of care, estimating the patients capacity to consent and other legislations and policies the nurse should propose her planning (Pitchell et al., 2015). Examples of mental health assessments for mental disorders: One can provide examples in order to portray how different cases can be handled. In case of patients with depression, different screening tools are used by nurses with the help of important question that help the nurse to gather information about the reason that is causing depression. Other tools like patient health questionnaire feeling, different scales like hospitals anxiety and depression scale, interview based tools can be utilized to assess the main issue and then provide interventions accordingly (Corrigan, Druss Perlick, 2014). In case of bipolar disorders, the nurse should conduct physical exam, psychiatric assessment, mood charting and understand the criteria of the patient for bipolar disorder. These will give them an idea about how to handle the patient with bipolar disorder. In case of patients with substance abuse disorders, behaviour skills checklist should be done, proper communication with the patient is done to know the major reasons, emotional and personal barrier s are known and others to assess the mental health patients. Thereby these are some of the preliminary mental health assessments required to be conducted by nurses to treat such people. Conclusion: Hence, one can come to a conclusion that a patient suffering from mental health issues not only suffers from emotional stresses but also have affected physical live as the improper mental health affect the physiological system of the body. It affects their personal as well as professional life. Even societies make them excluded and in turn make them more also fight for themselves. Not only the mental health patients, but also their family members are also getting affected economically affecting them both mentally and physically. Even societies are also getting affected. Therefore it is extremely important for healthcare professional to provide correct interventions it these individuals so that they can develop a better quality life. However, in order to provide better interventions, the nurses should have the capability to properly assess the mental health condition of the patient so that she can provide the best interventions as well as recommendations and referrals to other experts if necessary. Just like every physiological problem of patients are handed with property by the healthcare sectors, it is also their duty that each and every mental health issues should also be handled with similar property. A nation free from mental health issues will surely succeed in making the nation proud economically and culturally as well. References: Baker, J. T., Pennant, L., Baltruaitis, T., Vijay, S., Liebson, E. S., Ongur, D., Morency, L. P. (2016). Toward Expert Systems in Mental Health Assessment: A Computational Approach to the Face and Voice in Dyadic Patient-Doctor Interactions.Iproceedings,2(1), e44. Barkley, R. A. (Ed.). (2014).Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. Guilford Publications. Brownlie, K., Schneider, C., Culliford, R., Fox, C., Boukouvalas, A., Willan, C., Maidment, I. D. (2014). Medication reconciliation by a pharmacy technician in a mental health assessment unit.International journal of clinical pharmacy,36(2), 303-309. Corrigan, P. W., Druss, B. G., Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care.Psychological Science in the Public Interest,15(2), 37-70. Forbes, H., Watt, E. (2015).Jarvis's Physical Examination and Health Assessment. Elsevier Health Sciences. Heilbrun, K., DeMatteo, D., Holliday, S. B., LaDuke, C. (Eds.). (2014).Forensic mental health assessment: A casebook. Oxford University Press. Lereya, S. T., Copeland, W. E., Costello, E. J., Wolke, D. (2015). Adult mental health consequences of peer bullying and maltreatment in childhood: two cohorts in two countries.The Lancet Psychiatry,2(6), 524-531. Paniagua, F. A., Yamada, A. M. (Eds.). (2013).Handbook of multicultural mental health: Assessment and treatment of diverse populations. Academic Press. Patel, V., Saxena, S. (2014). Transforming lives, enhancing communitiesinnovations in global mental health.New England Journal of Medicine,370(6), 498-501. Pitschel-Walz, G., Leucht, S., Buml, J., Kissling, W., Engel, R. R. (2015). The effect of family interventions on relapse and rehospitalization in schizophrenia: a meta-analysis.Focus. Rayner, L., Matcham, F., Hutton, J., Stringer, C., Dobson, J., Steer, S., Hotopf, M. (2014). Embedding integrated mental health assessment and management in general hospital settings: feasibility, acceptability and the prevalence of common mental disorder.General hospital psychiatry,36(3), 318-324. Rogers, A., Pilgrim, D. (2014).A sociology of mental health and illness. McGraw-Hill Education (UK). Russell, A. J., Murphy, C. M., Wilson, E., Gillan, N., Brown, C., Robertson, D. M., ... McAlonan, G. M. (2016). The mental health of individuals referred for assessment of autism spectrum disorder in adulthood: A clinic report.Autism,20(5), 623-627. Switzer, G. E., Dew, M. A., Bromet, E. J. (2013). Issues in mental health assessment. InHandbook of the sociology of mental health(pp. 115-141). Springer Netherlands Seligman, M. E., Csikszentmihalyi, M. (2014).Positive psychology: An introduction(pp. 279-298). Springer Netherlands. Yaghmaie, P., Koudelka, C. W., Simpson, E. L. (2013). Mental healthcare comorbidity in patients with atopic dermatitis.Journal of Allergy and Clinical Immunology,131(2), 428-433.