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Spiritual assessments are being integrated by many health institutions such as hospitals, home health care, long term facilities, and behavioral health settings. In each of these areas comes a point in a patient’s health journey which they may call on other entities for support. Facilitating these needs for patients enhances the outlook on medical treatments. According to Hodge (2013), "Administering a spiritual assessment, as part of a larger bio-psycho-social-spiritual assessment, provides a more holistic understanding of clients' realities, which in turn provides the basis for subsequent practice decisions (p. 223)." Spiritual assessment tools are beneficial for health care workers to
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mastering the art of spiritual transcendence. Is this spiritual transcendence a possibility? My assessment thereof is in the affirmative as a result of my own personal spiritual experiences.Our spirit is the only one capable of receiving inspiration and establishing lines of communication with the spiritual realm. The "clean" spirit or soul, after the body's physical death enters this realm to be with God, Allah or whatever one desires to call him/it, which is a spiritual collective society of souls or spirits; a government, the Ultimate Purity consisting of Pure Intelligence, Pure Logic, the Supreme Spirit.Let us hope that man will eventually progress intellectually and evolve to a point
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delivery of morally and ethically sound care. An awareness of institutional racism and its impact on the patient population will heighten awareness of the diverse populations served (Cully, (2001), Journal of Advanced Nursing and Levine, (2002), American Outlook). This is one example of the thoughtfulness provoked by the assessment tool and a way to implement the information.
The spiritual needs of the patient can have far reaching impact on the care of the patient. Spiritual and religious are not synonymous. An Agnostic’s strong spiritual beliefs may rival that of a Pentecostal Deacon with regard to the importance of the need to support those beliefs in the course of the healing process
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DISCUSS HOW THE FIVE PHASES OF NURSING PROCESS MAY BE USED TO PROVIDE EFFECTIVE NURSING CARE
The nursing process is “An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care” (Rush S, Fergy S & Weels D, 1996).The five steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The ‘process ‘is neither a ‘model ‘nor a ‘philosophy’ as it is sometimes defined but merely a method of reasonable discerning and it needs to be used with a clear nursing model. This is foundation for
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Spiritual health is the capacity and ability to seek, experience, and express meaning and purpose in our lives often through love, hope, gratitude, forgiveness, peace, and community in order to enjoy a sense of the Sacred (as you understand it). Spiritual health provides the sense that life is meaningful and has a purpose and is defined by the ethics, morals and values that guide you and give meaning and direction to your life.
Certain spiritual practices can help us care for our spiritual health. Our spiritual health needs attention and intention just as much as our physical and social and mental health. There are varieties of spiritual practices geared towards different strengths
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(Hagedorn & Moorhead, 2011). The first consideration being whether you can work at all with clients who have spiritual/religious concerns. Counselors may have concerns about religion/spirituality, maybe the relevancy of religion/spirituality is not seen in the client’s presenting issues or maybe as a result of past experience or personal belief. Next, is the assessment of client’s spectrum of spiritual concerns. Some client’s concerns are specific to their current spiritual practices and beliefs. For example, “How can God allow me to experience so much pain?” Lastly, another consideration is whether counselor should disclose their religious/spiritual beliefs to client. This decision should be
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swallowed by the devil (1 Peter 5:8). Victory
Over the devil was already promised to the believers, but it does not mean that this victory
And unconditional in all circumstances. Because our enemies are the spirits of the ways of
the flesh and will not be a lot of beneficial social change a community. This is a general
or course an assessment, in other words it is possible both methods used by him as an early
Success. The law is a spiritual battle spirit be dealt with spirits is the ruling spirits over
Community that we want to save must be defeated first, before mentally and physically
In battle, you cannot take a neutral stance and we have to know and be sure that
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Most often the common assessment approach to assess spirituality is verbally based. The Social Worker will ask many questions to get a sense of how the Native client sees spirituality. Limb & Hodge, (2007) say this direct verbal communication can be problematic for Native American clients who, culturally, are used to more non direct and nonverbal communication. Assessing the spirituality of the Native American client in a different way would be very important in the assessment process.
The first tool I found that could be used to assess spirituality would be an eco-map. The eco-map can be tailored to explore the spiritual dimensions of an
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). Exploring the meaning behind a painful event or coming to terms with an existential crisis are both a part of the spirituality field. Lukoff asserts that the spiritual dimensions of life reflect some of the most significant cultural aspects framing human experience. Belief system and values tend to be incorporated within a continuum of the cultural and spiritual backdrop. (Lukoff, 13) According to Stanard, treating various medical and psychological conditions may require that the assessment of one's spirituality be considered. They suggest that the impact of spirituality has resurged and is becoming a salient and dynamic force in counseling and psychology. Thus, spirituality and religion are
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, consideration on the patient’s healing process should always be respected and accommodated. In the health care setting, health care providers often encounter individuals with different religious belief, culture and nationality. These beliefs sometimes might be the same as that of the healthcare provider and at times, it might differ. Yet, it the responsibility of the provider to address and help patients on issues regarding their physical, emotional and spiritual needs, thus provides a compassionate, respectful and loving care to the patients in such a way that their ill-health can be eased or even become bearable for them (Suzanne, 2008). The healthcare providers should always promote the
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intimidate the patient through unconscious behaviours or inconsideration comments. Therefore, nurses must use empathy, compassion, be understanding, be non-judgemental and they must be active listeners to develop a rapport and build trust with the patient (Usher, Foster & Luck 2009). Once all of the assessments listed below have been completed Sarah will be referred to a specialist for a full assessment and diagnosis.The biopsychosocial model of assessment provides a comprehensive evaluation of the patient. It allows information regarding the biological, psychological, sociological, developmental, spiritual and cultural aspects of the patient to be collected (Barling 2009). This assessment
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givers and support her. Mrs. J is still smoking and wants to go back home. The spiritual belief variables are: Mrs. J still believes in God, prays for her family and church members and pastors still visit.
After completing the history data, assessment, and physical examination: the case manager was able to identify Mrs. J stressors and variables. The case manager in collaboration with the family, nursing staff, and other multidisciplinary staff implemented a discharge plan of care for the client. Melesis (2007) noted that, “the nurse’s work begins with a careful assessment of the client and plans for the appropriate intervention by focusing on the needs, resources, the problems, or
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In the early 1970’s, Betty Neuman created a holistically based, open-system theory to aid nurses in organizing the voluminous information needed to deal with complex client situations (Meleis, 2007, p.307). One component of the Neuman Systems Model is spirituality, which is described as being related to beliefs and influences that are spiritual. It should be noted that this was absent in her initial conceptualization and was developed later (Meleis, 2007, p.307). While utilizing the Neuman framework for client assessment, religion is often applied as a spiritual factor. Using this theory as basis one might conclude that religion and spirituality are synonymous in concept. This begs the
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care through therapeutic; (source) . this can be demonstrated holistically through strategies such as understanding the nature of a chronic illness with appropriate means of care and guiding a client through behavioral, developmental, emotional , spiritual changes. Another role of the psychiatric nurse is to carry out effective assessment, diagnosis and monitoring (source pg 152). With understanding and with comprehensive assessment strategies, the nurse is able to collect data from the combined biological, psychological, and social data and meet holistic needs of a client.
In a biophyscholical assessment, the understanding nature of a chronic illness is meeting the patient
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, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
1. Practice loving kindness with self and others.
2. Instill faith and hope and honor others.
3. Be sensitive to self and others by nurturing individual beliefs and practices.
4. Develop helping – trusting- caring relationships.
5. Promote and accept positive and negative feelings as you authentically listen.
6. Use creative scientific problem-solving methods for caring decision making.
7. Share teaching and learning that addresses the individual needs and comprehension styles.
8. Create a healing environment for the physical and spiritual self, which
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persist and impact the child’s physical, emotional and spiritual development as well as their social relationships making them isolated (Arnold et al., 1999).
Overtime, because of this growing national concern, On June 4, 1997, amendments to the Individuals with Disabilities Education Act (IDEA) became law (P.L. 105-17). These amendments introduced several new concepts which are specifically important to children’s education particularly those whose behaviors violate school codes of conduct or are outside the concept of socially acceptable behavioral norms: (a) positive behavioral support (PBS) and (b) functional behavioral assessment (FBA) ( “Public law”, 1999) . Functional Behavioral
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The nursing process is “An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care” (Rush S, Fergy S &Weels D, 1996).The five steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The ‘process ‘is neither a ‘model ‘nor a ‘philosophy’ as it is sometimes defined but merely a method of reasonable discerning and it needs to be used with a clear nursing model. This is foundation for integrating the development into our model for ideal nursing. Throughout the process the patient’s
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and content of the lesson or to go for more flexibility is a decision which does not just depend on the experience and security of the teacher but has to do with the fundamental beliefs about how people learn.Fleming: Starting Drama Teaching (1994, p.49)It is important that with our planning we bear the assessment and tracking of progress/assessment in mind so that we constantly have a focus for our drama lessons. We have also discussed briefly the need to apply our teaching to 'multi-sensory' learners through right-brain and left-brain learning, visual, auditory and kinaesthetic students. As an extension to this, Special Educational Needs should also be taken into account. However, this
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Personal Principles and Values
A personal principle that I must live by is to never limit your potential, and spiritual guidance will direct you in the right path. Another personal principle is to also learn and grow. People will make mistakes, but you have to learn from them to make smarter decision. I don’t believe that anyone should set limit for themselves. I believe that persistence is the best way to attain what you want out of life. The Nike slogan, “Just Do It” installs a deep value. The reward of one’s hard work is enticing on the outside, but it takes commitment within to reach success. There will be obstacles when you’re striving for success. How a person handles their obstacle
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; demographic information; data for patient physical status, including pain scale, assessment of physical activity and respiratory discomfort existed; cognitive/emotional status, including general mental status, assessment of inactiveness of short- and long-term memory, and effectiveness of verbal and nonverbal communication; psychological/emotional status, including assessment of mood, sources of anxiety, effectiveness of coping skill, anticipated grieving; social status with focus on recognizing important to the patient life people that may be included in treatment process as helpers; assessment of spiritual needs that should shape the sensitivity to various traditions and ritual aids as well as
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patient (Hamilton and Price, 2007). The
assessment interview also enables the nurse to gather the necessary data. It
provides information as the starting point for the establishment of a therapeutic
relationship built between the nurse and the patient (Crumbie, 2006). The
assessment will identify the type of treatment and service needed through mental,
physical and environmental procedures, it is vital to consider the cultural and spiritual
needs of the patient (Smith and Field, 2011). Castledine (2004) informs us that all
health care professionals should carry out an assessment routinely as it is the most
important stage in knowing the health of a patient.
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many teachers to only teach to the tests. This practice can hinder a student’s overall learning potential. With the stakes getting higher and higher for teachers, this practice will only continue to increase. The sad reality is that it fosters an atmosphere that is boring and lacks creativeness. Teachers have such pressure to get their students ready for these exams that they neglect to teach students skills that go beyond the tests.
Standardized tests can be one part of a comprehensive assessment system. However, they offer just a small piece of the picture. Better methods of evaluating student needs and progress already exist. Careful observation and documentation of student work and
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patient to have female family members have mammogram testing. A BSN would likely do more critical thinking and evidence based practice, which reduces medication errors, and is familiar with new technology and research as well as pain assessment and management. They would also be more involved in spiritual and pastoral family counseling, health education, and collaborating with hospice care. Furthering ones education provides nurses additional training in peer guidance, critical thinking and management. This also opens the door for motivated nurses to later earn advanced degrees and certifications specific fields of nursing (Pennington, Berg & Jarrett, 2013).
Nurses have a direct effect on
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The courts rely on forensic psychologist to determine the possibility of recidivism of a sex offender. Forensic psychologist must then rely on the assessment and test of those individuals. It is of the utmost importance that forensic psychologists have valid and reliably assessment and testing measures in order to determine, the probability of recidivism among sex offenders. The psychological constructs, such as cognitive and emotional functioning, of these individuals, must be determined by psychometrics. One of the tools used by most forensic psychologist today is the STATIC- 99; within the construct of this paper STATIC- 99 will be examined. To conclude if the STATIC- 99 is a
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another. But then not faith understood as a clone of reason, a container of propositional content; but rather, faith as trust. Trust does not contain, but reaches out and holds on. It is more like an anchor rope than like a treasure chest. If reason is to be successful in giving us the final word on what we may know and do, it needs to convince the world that reality is not spiritual. But if the spiritual will not go away, the redevelopment of religion as the ritual practice of trust may again be accepted in our world.
Further, if the spiritual truly resists denial, we need to deal with the spirituality which went out the window for rationally enlightened people. Spirituality is related
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journeys, and their family. At this moment, I realized that I was sharing in this wife’s burden of her husband’s unexpected death. And, based on Watson’s Theory of Caring, I was applying a holistic approach to nursing by helping the wife deal with her spiritual needs. This experience touched me in a way I had never personally dealt with death before. And it was this experience that made me realize my own acceptance of death and how I truly feel in regards to death and dying.
Death has been one of the hardest self-reflective parts of nursing I have ever had to deal with, and often felt I failed at. I truly didn't even begin to develop my own spiritual beliefs of death until I was faced
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comprehensive assessment of the Listo family. Nursing theories, including the structure-function theory, helped to analyze the data collected. A systematic approach through use of the nursing process was implemented in order to devise a nursing care plan for the identified needs of the Listo family. This exercise required the author to spend a substantial amount of time getting to know a family and learning the intricate details of how to interview and observe a family for the purposes of health-care analysis.ReferencesFriedman, M., Bowden, V., and Jones, E. (2003). Family nursing: research, theory, and practice. Upper Saddle River, NJ: Prentice Hall.Gilliss, C. L., Rose, D. B., Hallburg, J. C
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Introduction and Background
Interlink Counseling Services, (ICS) will be the focus of the proposed needs assessment analyses. ICS has several facets to their overall non-profit service to the veteran community. Addressed here will be who they are in depth, whom they serve and for the purpose of this writing, why does ICS have a client retention problem? Is it real or perceived? If it proves to be a real documented problem/gap then what exactly should be the steps in remedying the gap in terms of the needed training and the content for the proposed training program? In other words, what new skill set can be implemented that will enhance in its overall job performance? This
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when the patient is unable to provide the amount of self-care needed to sustain wellness. The goal of the model is to enable the patient to meet their self-care needs. Therefore, Orem's model does recognize the patients' right to assessment and management of pain.Orem defines three nursing systems of the nurse-patient interaction: the wholly compensatory system, the partly compensatory system, and supportive-educative system. In the wholly compensatory system, the nurse acts for the patient when patients are unable to act for themselves. The partly compensatory system occurs when the nurses and the patient work together to perform care measures. And when the patient is completing all the
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to continue sexual activity with her partner. These expressions from the patient in comparison to self-esteem needs, according to Maslow’s Hierarchy, led one to determine that the patient is in an active phase of the self-esteem needs classification.
As nurses, the goal is to treat the patient holistically, so that the patient may not only receive physical care, but also care for their spiritual and emotional issues. In order to ensure that holistic care is provided, the nurse would not only treat diagnoses that cause physical pain, but also problems that can cause emotional, spiritual, and psychosocial trauma. After the implementation of the stated interventions, the patient made
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and think about their thoughts and feelings. The experience gained in this can then be used to deal with other situations in a professional manner.The Nursing process is a framework used by the health care professionals. The framework is made up of four components. Assessment of the patient on admittance to hospital, considering all of the patients individual needs in order to identify any problems. Planning: at this stage the nurse and if necessary carers, relatives and the patient discuss achievable goals and how these can be met. Implementing: This is the direct care needed for the patient, what is to be done for the patient, when and by whom. This gives the patient a clear understanding
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. Others suggest that it is not very helpful to 'fragment' people in this way, preferring to see individuals more holistically as 'whole beings' such as Rogers' unitary field model (Rogers 1983) whereas others break the body down to its need, whether they be physiological or spiritual, like Roper, Logan and Tierney's (RLT) Activities of living model (Roper et al 1996). A model can also help to determine the kinds of intervention best suited to the patient's needs and can contribute to the decision of which members of the MDT should intervene.Personalised care plans are a key part of a number of the national service frameworks which set out good practice standards across the major disease
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verbal clues i.e. sad facial expressions, a slumped posture, lack of attention to personal appearance. (See appendix I non-verbal skills and verbal skills)In order to help Vera with her depression whilst she is in hospital the nurses have to assess her needs and continually reassess her. It is essential in the formulation of giving her the appropriate care whilst she is in need of help. The information usually required in the assessment of a depressed patient is biographical details; height, weight and changes in weight, a full set of observations. Any changes in appetite or alterations in Sleep pattern. You also need to find out if they have suffered any Libido loss. Ask the patient to
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” to God.
d) What is your God relationship to health?
B.U. states his God relationship regarding health is that God understand what he needs to be healthy without communication. The client says that when he is very ill, sad, or worried about a family member he will “pray” to God for strength and help. The client also says that in regard to his health that God will have other people help lead him in the right direction.
Weber, J., & Kelly, J. (2014). Health assessment in nursing (5th ed.) Philadelphia, PA:
Lippincott Williams & Wilkins.
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patient assessment, the nurse looks at patient “…physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors” (American Nurses Association, 2009, “Assessment”, para. 2) to determine patient need. Once a potential health need is assessed the nurse uses critical nursing judgment to create a nursing diagnosis of the patient need. Next the nurse, through the process of planning, sets outcomes and goals to help the patient. The nurse than implements a plan and evaluates the patient response to her set outcomes and goals to see if they have met the patient need.
Orlando’s nursing process discipline theory mirrors today’s nursing process. For example, a
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Nurses are challenged everyday due to cultural diversities. Heritage assessment helps nurses to understands and respect the role cultural competent in health ad illness. Heritage assessment tool use to assess the different cultural beliefs, their health maintenance, protection and restoration and to provide adequate and individualized care. Cultural assessments direct the nurse in providing culturally quality care to people form diverse cultures. The understanding of the concept of culture and its vitality in health is very important to nurses that provide care to diverse populations. Cultures, family and community have impact on how people take health information, how they exercise their
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provides care for multicultural populations. Some of these variables are religion, race, language, food, family, education, lifestyle and socioeconomic status. Ignoring cultural diversity when caring the patients can bring devastating consequences to the patients. Knowledge about individualized cultural care assessment is very essential to provide safe, high quality, culturally competent care. Awareness of one’s own cultural values and beliefs and understanding of other’s cultural values and beliefs are the basic step to become culturally competent.
In the given scenario, providing care for an Iranian, Muslim, no English speaking patient who is 79 year old is a challenge for
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, Initials. (2010). Nursing's social policy statement. Silver Spring, Maryland: American Nurses Publishing.
Andrews, M.M., & Boyle, J.S. (2008). Transcultural concepts in nursing care. Philladelphia, PA: Lippincot, Williams,and Wilkins.
Guido, G.W. (2010). Legal and ethical issues in nursing. Boston, MA: Pearson.
Keuhnert, P. Maine Department of Health and Human Services, Maine Bureau of Health. (2000). Health status and needs assessment of native americans in maine: final report Augusta, Maine: Maine Department of Health and Human Services. Retrieved from http://www.maine.gov/dhhs/boh/phdata/Non%20DHP%20Pdf%20Doc/Health_Status_Needs_Assessment_Native_Americans_2000.pdf
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has to be set and be prepared to help the patient.
5. Expressing positive and negative feelings
Being able and willing to express feelings helps create a relationship, as in above carative factor as well as giving more opportunities to intervene and change. All feelings should be respected and attended.
6. Creative problem-solving caring process
7. Transpersonal teaching–learning
8. Supportive, protective, and corrective mental, physical, societal, and spiritual environment
9. Human needs assistance
10. Existential–phenomenological–spiritual forces.
Transpersonal caring relationship. According to Watson (1999), “A transpersonal caring relationship connotes a special kind of
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sensitive and individualized for each patient. In addition, patients care should be coupled with continuous evaluation of psychological and emotional status. A study was conducted to investigate the effect of supportive care on anxiety levels of women during the diagnostic period. Supportive care included evaluation of the participants health care and support needs, education pamphlets, 3 face to face individual meetings, and 2 telephone calls. Results revealed significantly lower anxiety levels before biopsy and after learning results than those without supportive care (Liao et al., 2009).
Distress and uncertainty of an impending diagnostic result begins at the point of discovery
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strangers. She loves affection and attention from her loved ones and is able to cry to let others know when she needs or is uncomfortable. (Murray, Zentner, and Yakimo, 2009).
7. Cultural considerations necessitated by this client, which must be incorporated into the plan of care.
Maria is breast fed. Her mother does pump for when she goes to daycare. She also thinks that it is important for the father to bond with the baby during feedings as well.
8. Spiritual considerations necessitated by this client, which must be incorporated into the plan of care.
This stage of development encompasses the period of infancy which children have no concept of right or wrong, no beliefs, no
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will support staff nurses and prevent management professionals from being perceived as those who inhibit or overpower nursing.
Veterans have physical needs as well as psychological needs. Therefore, it is imperative that staff be continuously educated on the assessment and treatment of patients requiring spiritual and emotional assistance. This facility will function with a transformational leadership style, an approach that motivates staff to perform at their full potential using trust with coworkers, demonstrating integrity, inspiration for others, intellectual challenges, and coaching with individual consideration (Cleary, Horsfall, Deacon, & Jackson, 2011). This leadership style
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life measures can be used for research purposes said Jacob (2009) such as economic decision making, and for decision making in clinical practice, but need to be tailored to these goals. In clinical practice quality of life measures are currently used for needs assessment and monitoring purposes. Chronic disease management systems, with the aim of delivering systematic multidisciplinary care that is also targeted at individual needs, often incorporate disease-specific instruments to assess needs and to monitor changes in perceived disease consequences.
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physical post-event concerns. Referral and linkage with personal or community supports is a key feature of the assistance protocols, as well as Psychological First Aid (PFA). It aims to support the cognitive, emotional and spiritual functioning of the individual, group and/or community during and after a disaster. This includes crisis interventions, mental health and substance abuse assessment/referral, victim assistance and spiritual or pastoral care interventions. Although it has a basis in cognitive behavioral therapeutic approach, it is not a clinical mental health treatment in the traditional sense. Rather, it provides short-term support, crisis counseling and skill-building to assist
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investigation, physiology, acoustics, psychology and music and therapy; at present there are 68 undergraduate and 25 graduate programs accepted by the association across the nation. Leading implementation the academic agenda at both the bachelor and master's stage, a 6-month internship is required at an AMTA accepted clinical training site. Graduates must afterward pass a wide-ranging assessment administered by a self-governing certifying body, the official recognition Board for Music Therapists (CBMT), to receive the MT-BC official document, which needs to be maintained by taking ongoing education courses in Music Therapy and in associated fields.Through successful music experiences, patients can
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physical, psychological, social and spiritual care (Creedon et al, 2010, p. ). Successful pain management requires careful assessment and in turn appropriate care. Nurses should also be trained in pain management and the prescription and monitoring of opioid therapy. Furthermore, the nurses should have a responsibility to educate the patients and their families about analgesic safe use, adverse effects and monitoring. The stigma of analgesics causing drug seeking behavior and dependence needs to decrease in order to have an increase in the number of patients getting pain management. And by facilitating nurses in the palliative care setting to carry out nurse prescribing practices, it is
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In order to explain the experience of mental health, its complexity needs to be both understood and appreciated. There are diverse perspectives in mental health that are used for assessment, diagnosis and treatment. This essay will use the K272 Holistic Model to illustrate a framework that can help explain the experience of mental health. Alongside this model are the experiences of Hilary, a case study used within the course materials whose physical, psychological, emotional, social and spiritual/personal meaning dimensions reveal the factors that may have contributed to her mental distress (The Open University, 2010, p.31-51). The effectiveness of the medical model providing an
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this by asking God into their life and to be a servant of God. So then why does the Bible talk so much about money? The Bible is teaching us how to respect money by properly managing money. We are to earn money and use that money to take care of our family, friends, the needy, the church, and our community. We are not to acquire wealth beyond our needs. The Bible also teaches us that we can learn a lot about someone’s spiritual wellbeing in regards to how they handle their finances.
The Role of Time Management in Christian Stewardship
Applying Christian stewardship to time management is what makes time management so effective. When you are applying Covey’s (2004) Habit 3 – Put First
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constructed as characters with troubled pasts and we now see them healed by the love of the present. Rose, who has always been starved for affection, is able to give Quick the love he needs to silence the misery pictures on his wall. The wedding of Rose and Quick also serves to bring the two families closer together, notably Dolly and Oriel - "Quick sees his mothers face: something massive has been summoned… Oriel Lamb takes her (Dolly) by the hand and waist and they move onto the floor in a slow rhythm that sobers the entire place." The love of Quick and Rose also functions to begin the spiritual healing of the house. The library has been haunted by the ghosts of the old women and
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, representative of the element of air and all that is spiritual in man. Prospero is experiencing an uncomfortable middle ground between the two extremes much like Gulliver experiences in Jonathon Swifts Gulliver's Travels. Gulliver is a mix of both the rational and emotional beings he meets and neither race can understand having aspects of the other. As such, Gulliver is lost and unable to assimilate into the culture of the rational beings because he is not purely rational like they are. In the end Gulliver gives up because he cannot be purely rational or purely emotional. Prospero faces a similar situation: he could be purely bestial or purely spiritual, but since he understands these two must work in