Tag: Model Answer

  • [Solved] Critical appraisal

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  • [Solved] 505 Discussion 5

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    – ## MODULE5NUR505.docx **## MODULE5NUR505.docx** ### **Module 5 Discussion** ![icon](https://www.sweetstudy.com/questions/505-discussion-5)_Caring for Korean, Puerto Rican, & Jordanian Populations_ After studying [Module 5: Lecture Materials & Resources](https://stu.instructure.com/courses/46413/pa…

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    – ## MODULE5NUR505.docx

    **## MODULE5NUR505.docx**

    ### **Module 5 Discussion**

    ![icon](https://www.sweetstudy.com/questions/505-discussion-5)_Caring for Korean, Puerto Rican, & Jordanian Populations_

    After studying
    [Module 5: Lecture Materials & Resources](https://stu.instructure.com/courses/46413/pages/module-5-lecture-materials-and-resources-2), discuss the following:

    A. Of which biological variations among Korean Americans should the nurse be aware?

    B. Describe how stereotyping Puerto Ricans as similar to other Hispanic Americans can lead the nurse to errors in patient care.

    C. Describe the geographical location of Jordan, and indicate how this region of the world and the political turmoil experienced by Jordanians may have a profound political impact on the health and well-being of recently immigrated Jordanian Americans.

    **Submission Instructions:**

    · Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

    · Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

    · Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.

    ## image1.png

    **## MODULE5NUR505.docx**

    ### **Module 5 Discussion**

    ![icon](https://www.sweetstudy.com/questions/505-discussion-5)_Caring for Korean, Puerto Rican, & Jordanian Populations_

    After studying
    [Module 5: Lecture Materials & Resources](https://stu.instructure.com/courses/46413/pages/module-5-lecture-materials-and-resources-2), discuss the following:

    A. Of which biological variations among Korean Americans should the nurse be aware?

    B. Describe how stereotyping Puerto Ricans as similar to other Hispanic Americans can lead the nurse to errors in patient care.

    C. Describe the geographical location of Jordan, and indicate how this region of the world and the political turmoil experienced by Jordanians may have a profound political impact on the health and well-being of recently immigrated Jordanian Americans.

    **Submission Instructions:**

    · Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

    · Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

    · Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.

    ## image1.png

  • [Solved] Policy & justice

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    Executive Solution Overview

    – ## ClientOverview2ndPart-.docx – ## PolicySocialJusticeInstructions.docx – IntegrativePaperOutline1stPart-.docx **## ClientOverview2ndPart-.docx** 5 **Client Overview** **Client Overview** This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington,…

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    Assignment Prompt & Instructions

    – ## ClientOverview2ndPart-.docx

    – ## PolicySocialJusticeInstructions.docx

    – IntegrativePaperOutline1stPart-.docx

    **## ClientOverview2ndPart-.docx**

    5

    **Client Overview**

    **Client Overview**

    This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington, Texas, and his struggles with generalized anxiety disorder and alcohol dependency. They are treated with dual diagnosis within the Mental Health and Substance Misuse specialization, and the overview sets the context for this treatment.

    **Practice Setting**

    The client practice setting is Center to Rise Wellness Spa Studio, Arlington, Texas. The specialty of this therapy clinic is mental health and substance misuse interventions with individual therapy, group support, and holistic wellness services like mindfulness and stress management. The agency’s multidisciplinary team provides a recovery-supportive environment, especially for individuals with co-occurring disorders, by using evidence-based practices to treat complex needs (Center to Rise Wellness Spa Studio, 2023). It focuses on dual-diagnosis treatment, which meets the client’s needs in a community-based setting.

    **Practice Situation**

    This is a client who is a 35-year-old person who has generalized anxiety disorder and alcohol dependency, which hinder the client’s employment and social relationships. Their anxiety is persistent, uncontrollable worry that interferes with daily functioning and causes emotional distress. Alcohol use is used as a maladaptive coping mechanism, which worsens social isolation and occupational instability and thus perpetuates the cycle of dependency (SAMHSA, 2024). This dual diagnosis is a complicated practice situation that requires integrated therapeutic interventions to deal with both problems simultaneously. The client’s challenges point to the interplay between mental health and substance misuse and the need for tailored, evidence-based strategies for recovery and enhancing quality of life.

    **Connection to Specialization**

    The mental health and substance misuse specialization directly relates to the client’s co-occurring disorders. But their challenges illustrate the importance of integrated care models that address mental health and substance use at the same time. Dual-diagnosis treatment, as SAMHSA (2024) states, can be effective only when it is comprehensive and includes therapy, motivational strategies, and relapse prevention. The specialization’s concentration on handling intricate situations involving the combination of anxiety and alcohol dependency, as found in the client’s situation, emphasizes the need for evidence-based approaches, for example, motivational interviewing and cognitive behavioral therapy (Lee & Sherman, 2024). Specialized knowledge of the client and the care system can be used in this case to create client-centered interventions, advocate for equitable care, and work to dismantle systemic barriers to recovery.

    **Social and Contextual Factors**

    The client’s low socioeconomic status and limited access to resources in Arlington only exacerbate their challenges, which are symptomatic of broader systemic issues in the access to mental health care. Ware (2025) notes that rural and underserved communities often have barriers to integrated treatment, which in turn reduces the client’s ability to consistently engage in care. Other cultural factors, such as stigma associated with mental health and substance use issues, complicate help-seeking behaviors. Culturally adapted engagement strategies are used by social workers in order to build trust and make sure that interventions are resonating with the client’s background (Lee & Sherman, 2024). These factors indicate the need for treatment planning that addresses social determinants of health.

    **Reason for Intervention Need**

    This client is in need of intervention due to the prevalence of co-occurring disorders. According to SAMHSA (2024), an estimated 9.2 million U.S. adults suffer from both mental health and substance use disorders each year, highlighting the public health importance of dual-diagnosis treatment. The client is impaired and using alcohol to cope with this impairment, which indicates the need for immediate intervention to avoid further deterioration. Through the Mental Health and Substance Misuse specialization, the social worker will be able to help the client to work towards recovery while utilizing evidence-based practices in order to provide sustainable results.

    **References**

    Center to Rise Wellness Spa Studio. (2023). About us. Retrieved from
    [https://centertorise.com/](https://centertorise.com/)

    Lee, C. S., & Sherman, D. K. (2024). Integration of motivational interviewing and self-affirmation theory into a culturally adapted motivational interview: A case study.
    _Clinical Case Studies, 23_(3), 212-229.
    [https://doi.org/10.1177/15346501231222554](https://doi.org/10.1177/15346501231222554)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    SAMHSA. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. Retrieved from
    [https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf](https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **## PolicySocialJusticeInstructions.docx**

    Policy And Social Justice Instructions (3rd part of the integrative paper outline)

    **INSTRUCTIONS**

    · For this assignment, identify a social policy that is relevant to the practice situation described in the Client Overview Paper you submitted a couple weeks back. (Client overview is the 2nd part of the paper. You’ve completed the 1st part (integrative outline) and the 2nd part (Client Overview), I’ve attached both the ones you completed for your reference)

    **Step 1: Draft Your Paper**

    · You will write a first draft of your paper and submit for peer feedback. You will get the most out of this activity if your draft paper is as developed as possible.

    **Policy Selected**

    · Provide an overview of the policy and describe how it applies to the practice situation. This policy should be an existing current state or federal policy (e.g., laws, court decisions, or regulations), rather than an agency policy. Make sure to cite the policy. Do not use an agency, organization or internal hospital policy.

    · Here are a few ideas for Social Policies:

    · secularization-separation of church and state

    · funding of faith-based organizations

    · policies related to discrimination

    · poverty

    · child support policies

    · TANF

    · Supplemental Social Security (disabled adults, children with severe disabilities)

    · working poor, minimum wage

    · general assistance programs,

    · food stamps, free lunch programs, emergency food program assistance program, summer food

    · service program, special milk program, school breakfast program

    · Farming policy; dumping of toxic waste

    · Social Insurance

    · Unemployment, SS Disability

    · Medicare

    · Social Security

    · Workers Compensation

    · Assets for Independence Act (individual development accounts for low income)

    · Tax policy—federal and state, Fiscal Cliff

    · Health care policy

    · Affordable Care Act implementation

    · Medicare reforms

    · Medicaid

    · State Children’s Health Insurance Program (S-Chips)-federal/state partnership to cover uninsured children

    · reimbursement rates

    · nursing home, hospitals

    · health maintenance organizations (HMOs), managed care

    · underinsured, uninsured, COBRA

    · Corrections

    · Drug policies

    · Gun Control

    · Mental Health

    · The Community Mental Health Centers Act

    · deinstitutionalization

    · substance abuse

    · Mental Health Parity Act

    · Licensing of social workers

    · Sex offender registry

    · Child Welfare policy

    · CAPTA, AACWA, McKinney-Vento Act, Chafee Act

    · Child care policies

    · foster care, adoption, Head Start

    · No Child Left Behind, Race to the Top

    · WIC

    · Housing Policy

    · HUD

    · Section 8

    · International/global policies

    · UN Convention on the Rights of Children

    **Policy Analysis Model**

    · Identify and describe a policy analysis model to be used to evaluate the policy and include a brief analysis of the policy using the model selected. Please make sure to cite the model used. Provide an overview of the policy and describe how it applies to the practice situation.

    · Here are a few helpful resources in this area:

    ·
    [American Association for Policy Analysis and ManagementLinks to an external site.](http://www.appam.org/)

    · McNutt, J. G. & Hoefer, R. (2016).  Chapter 6: Policy Analysis-Tools for Building Evidence-Based Social Policy.  In Social Welfare Policy: Responding to a Changing World. Oxford University Press.

    · Karger, H., & Stoesz, D. (2010). American social welfare policy: A pluralist approach.

    · Bardach, E., & Patashnik, E. M. (2015). A practical guide for policy analysis: The eightfold path to more effective problem solving. CQ press.

    **Policy Recommendations**

    · Based on your review, provide recommendations for policymakers regarding a policy review, application, formulation, and/or revision of the policy.

    **Social Justice Implications**

    · Discuss the social justice implications for the client situation based on the selected policy and provide an advocacy plan at the micro, mezzo, and macro level. For example, if the policy discriminates against the population related to your practice situation, provide a plan for how you might advocate for change for your individual client(s), the agency, or at the legislative level.

    **Ethical Challenge and/or Value Conflict**

    · Identify and describe one or more potential ethical or values conflict(s) related to the policy as it applies to this practice situation.

    **Required – 3 pages for this section.**

    (Please use the references that you mentioned in the outline for this section and you can also add additional references) Please also use subheadings as needed.

    Please find attached the outline that was completed as the first part of this assignment. This outline will serve as the foundation for the remaining sections.

    I’ve also attached the full assignment description and instructions, which detail the requirements for each section. These sections are due every two weeks, and I will be submitting a request for each part accordingly. You’ve already completed the Integrative Paper Outline and Client Overview. Now we’re on the 3rd part.

    Please continue to follow the structure established in the initial outline. Each section has specific page requirements, which I will clearly indicate when assigning them every two weeks. The sections that is likely to have more page requirements are Engagement, Assessment, Human Behavior and the Social Environment, Policy and Social Justice, and Intervention and Evaluation.

    Thank you again for all your help.

    **_Full Description of Major Assessments and Examinations_**

    The purpose of this paper is to demonstrate a comprehensive understanding of practice and theory in your area of specialization. Select a client, client system or target population from your graduate level social work Practicum. The selected client or client system should reflect your chosen specialization. For example, if you are a CAP student you should select an agency, community or other social intervention. If your specialization is mental health, you should chose an individual, family or small group with mental health and/or substance misuse issues and concerns. If your area of specialization is family and children, you should choose an individual, family or small group with issues and concerns related to family and children. The client system you choose for your paper should be a real case from your Practicum placement. If you have an issue or problem with selecting a case from your Practicum placement, please see or talk with your instructor. All exceptions must be approved by the instructor. In no circumstances are family members, friends, or characters from media to be used as the client system in the paper.

    (My specialization is Mental health)

    **Integrative Paper Outline**

    Use the template in the assignments module to complete the outline assignment. The template is set up so you can compose directly onto the document, save, and upload as your assignment submission.

    **Client Situation. (Overview)**

    Describe the client system. (e.g., individual, family, other small group, larger group, team, program, agency, organization or community) and the client’s situation that is the reason for your intervention. Include a discussion of how this client’s situation fits into your area of specialization. For example, if your area of specialization is mental health, describe how the client’s issues/concerns fit the definition of mental health, mental illness, and/or mental well-being.

    Apply, synthesize and analyze knowledge, theory, and skills in relation to the client system.

    **Engagement, Assessment, Human Behavior and the Social Environment**

    Describe how you did engage the client in the assessment and intervention. What specific skills did you use to engage the client?

    Describe your efforts to collect, organize and interpret information about the client. What are the client’s strengths and limitations?

    Your assessment should include a discussion of relevant issues of age, class, color, disability, ethnicity, family structure, gender, marital status, national origin, race, religion, sex, stigma, and/or sexual orientation as applicable to your client. Be sure that your discussion of diversity links well with the client and or client situation.

    Discuss how the issues of social and economic justice and human and civil rights may relate to this specific practice situation.

    Select and describe one or more of the most relevant HBSE theories that contribute to the client’s issues and concerns.

    Briefly explain the theory and how this theory is relevant to your client’s area of concern/problem situation.

    **Policy and Social Justice**

    Select and describe one or more of the most relevant social policies relevant to the practice situation. This policy section refers to state and federal policies (laws, court decisions, or regulations), not agency policy. Be sure to cite the laws and policies correctly (as you should with all literature you reference).

    Briefly explain the policy and how it is relevant to your client’s area of concern/problem situation.

    Use a policy analysis model to analyze the effectiveness of the policy for the general client group you have chosen and then your client specifically. Include carefully referenced literature sources including books; peer-reviewed journal articles; research studies; government documents, reports and data; and web sites. While this is not expected in the space available to be a full policy analysis, you should draw on one of the policy analysis models with which you are familiar, and reference the model fully.

    Based on your analysis, what would you advocate in terms of policy review, application, formulation, or revision?

    **Intervention and Evaluation**

    Present a mutually developed and agreed upon intervention strategy with specific goals and objectives. Provide a rationale for your selection.

    Describe your intervention from beginning to end, including termination. How did you help the client prevent or resolve problems? How did you negotiate mediate and advocate for your client. Select and discuss at least 3 practice skills (micro/macro) used in your intervention with the client.

    Write a critique of your work with the client. What did you do well in terms of the intervention? What could have been done to improve the outcomes with the client? How was the intervention empowering? How may it have been discriminatory or oppressive?

    Provide a discussion of whether the intervention was developed from a theoretical practice model. If so, which practice theory? If not, what practice theory could have been used to facilitate better outcomes? Regardless, analyze and provide evidence- based knowledge about the theory-based intervention (used or proposed) and its effectiveness.

    Select one of the methods used to evaluate change and improvement with clients/client systems (single subject, pretest/posttest or other). Provide a rationale for the evaluation method you selected. Describe the method and how you would facilitate using that method to collect data to assess change and improvement.

    **Ethics and Conclusion**

    Critically review your practice situation and intervention as an external observer and comment on the following:

    Identify and describe one or more potential ethical and values issues related to this practice situation. Be sure to reference the NASW Code of Ethics in your discussion.

    Discuss how this assignment raises issues of professional strengths and challenges. Formulate a plan for lifelong professional learning and continuing education.

    NOTE: The final document should be between 20-25 double-spaced pages (not including references or a cover page) and in 12-point font. Your paper must adhere to APA style (6th edition).

    **IntegrativePaperOutline1stPart-.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/integrativepaperoutline1stpart-docx)

    **IntegrativePaperOutline1stPart-.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/integrativepaperoutline1stpart-docx)

    **## ClientOverview2ndPart-.docx**

    5

    **Client Overview**

    **Client Overview**

    This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington, Texas, and his struggles with generalized anxiety disorder and alcohol dependency. They are treated with dual diagnosis within the Mental Health and Substance Misuse specialization, and the overview sets the context for this treatment.

    **Practice Setting**

    The client practice setting is Center to Rise Wellness Spa Studio, Arlington, Texas. The specialty of this therapy clinic is mental health and substance misuse interventions with individual therapy, group support, and holistic wellness services like mindfulness and stress management. The agency’s multidisciplinary team provides a recovery-supportive environment, especially for individuals with co-occurring disorders, by using evidence-based practices to treat complex needs (Center to Rise Wellness Spa Studio, 2023). It focuses on dual-diagnosis treatment, which meets the client’s needs in a community-based setting.

    **Practice Situation**

    This is a client who is a 35-year-old person who has generalized anxiety disorder and alcohol dependency, which hinder the client’s employment and social relationships. Their anxiety is persistent, uncontrollable worry that interferes with daily functioning and causes emotional distress. Alcohol use is used as a maladaptive coping mechanism, which worsens social isolation and occupational instability and thus perpetuates the cycle of dependency (SAMHSA, 2024). This dual diagnosis is a complicated practice situation that requires integrated therapeutic interventions to deal with both problems simultaneously. The client’s challenges point to the interplay between mental health and substance misuse and the need for tailored, evidence-based strategies for recovery and enhancing quality of life.

    **Connection to Specialization**

    The mental health and substance misuse specialization directly relates to the client’s co-occurring disorders. But their challenges illustrate the importance of integrated care models that address mental health and substance use at the same time. Dual-diagnosis treatment, as SAMHSA (2024) states, can be effective only when it is comprehensive and includes therapy, motivational strategies, and relapse prevention. The specialization’s concentration on handling intricate situations involving the combination of anxiety and alcohol dependency, as found in the client’s situation, emphasizes the need for evidence-based approaches, for example, motivational interviewing and cognitive behavioral therapy (Lee & Sherman, 2024). Specialized knowledge of the client and the care system can be used in this case to create client-centered interventions, advocate for equitable care, and work to dismantle systemic barriers to recovery.

    **Social and Contextual Factors**

    The client’s low socioeconomic status and limited access to resources in Arlington only exacerbate their challenges, which are symptomatic of broader systemic issues in the access to mental health care. Ware (2025) notes that rural and underserved communities often have barriers to integrated treatment, which in turn reduces the client’s ability to consistently engage in care. Other cultural factors, such as stigma associated with mental health and substance use issues, complicate help-seeking behaviors. Culturally adapted engagement strategies are used by social workers in order to build trust and make sure that interventions are resonating with the client’s background (Lee & Sherman, 2024). These factors indicate the need for treatment planning that addresses social determinants of health.

    **Reason for Intervention Need**

    This client is in need of intervention due to the prevalence of co-occurring disorders. According to SAMHSA (2024), an estimated 9.2 million U.S. adults suffer from both mental health and substance use disorders each year, highlighting the public health importance of dual-diagnosis treatment. The client is impaired and using alcohol to cope with this impairment, which indicates the need for immediate intervention to avoid further deterioration. Through the Mental Health and Substance Misuse specialization, the social worker will be able to help the client to work towards recovery while utilizing evidence-based practices in order to provide sustainable results.

    **References**

    Center to Rise Wellness Spa Studio. (2023). About us. Retrieved from
    [https://centertorise.com/](https://centertorise.com/)

    Lee, C. S., & Sherman, D. K. (2024). Integration of motivational interviewing and self-affirmation theory into a culturally adapted motivational interview: A case study.
    _Clinical Case Studies, 23_(3), 212-229.
    [https://doi.org/10.1177/15346501231222554](https://doi.org/10.1177/15346501231222554)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    SAMHSA. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. Retrieved from
    [https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf](https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **## PolicySocialJusticeInstructions.docx**

    Policy And Social Justice Instructions (3rd part of the integrative paper outline)

    **INSTRUCTIONS**

    · For this assignment, identify a social policy that is relevant to the practice situation described in the Client Overview Paper you submitted a couple weeks back. (Client overview is the 2nd part of the paper. You’ve completed the 1st part (integrative outline) and the 2nd part (Client Overview), I’ve attached both the ones you completed for your reference)

    **Step 1: Draft Your Paper**

    · You will write a first draft of your paper and submit for peer feedback. You will get the most out of this activity if your draft paper is as developed as possible.

    **Policy Selected**

    · Provide an overview of the policy and describe how it applies to the practice situation. This policy should be an existing current state or federal policy (e.g., laws, court decisions, or regulations), rather than an agency policy. Make sure to cite the policy. Do not use an agency, organization or internal hospital policy.

    · Here are a few ideas for Social Policies:

    · secularization-separation of church and state

    · funding of faith-based organizations

    · policies related to discrimination

    · poverty

    · child support policies

    · TANF

    · Supplemental Social Security (disabled adults, children with severe disabilities)

    · working poor, minimum wage

    · general assistance programs,

    · food stamps, free lunch programs, emergency food program assistance program, summer food

    · service program, special milk program, school breakfast program

    · Farming policy; dumping of toxic waste

    · Social Insurance

    · Unemployment, SS Disability

    · Medicare

    · Social Security

    · Workers Compensation

    · Assets for Independence Act (individual development accounts for low income)

    · Tax policy—federal and state, Fiscal Cliff

    · Health care policy

    · Affordable Care Act implementation

    · Medicare reforms

    · Medicaid

    · State Children’s Health Insurance Program (S-Chips)-federal/state partnership to cover uninsured children

    · reimbursement rates

    · nursing home, hospitals

    · health maintenance organizations (HMOs), managed care

    · underinsured, uninsured, COBRA

    · Corrections

    · Drug policies

    · Gun Control

    · Mental Health

    · The Community Mental Health Centers Act

    · deinstitutionalization

    · substance abuse

    · Mental Health Parity Act

    · Licensing of social workers

    · Sex offender registry

    · Child Welfare policy

    · CAPTA, AACWA, McKinney-Vento Act, Chafee Act

    · Child care policies

    · foster care, adoption, Head Start

    · No Child Left Behind, Race to the Top

    · WIC

    · Housing Policy

    · HUD

    · Section 8

    · International/global policies

    · UN Convention on the Rights of Children

    **Policy Analysis Model**

    · Identify and describe a policy analysis model to be used to evaluate the policy and include a brief analysis of the policy using the model selected. Please make sure to cite the model used. Provide an overview of the policy and describe how it applies to the practice situation.

    · Here are a few helpful resources in this area:

    ·
    [American Association for Policy Analysis and ManagementLinks to an external site.](http://www.appam.org/)

    · McNutt, J. G. & Hoefer, R. (2016).  Chapter 6: Policy Analysis-Tools for Building Evidence-Based Social Policy.  In Social Welfare Policy: Responding to a Changing World. Oxford University Press.

    · Karger, H., & Stoesz, D. (2010). American social welfare policy: A pluralist approach.

    · Bardach, E., & Patashnik, E. M. (2015). A practical guide for policy analysis: The eightfold path to more effective problem solving. CQ press.

    **Policy Recommendations**

    · Based on your review, provide recommendations for policymakers regarding a policy review, application, formulation, and/or revision of the policy.

    **Social Justice Implications**

    · Discuss the social justice implications for the client situation based on the selected policy and provide an advocacy plan at the micro, mezzo, and macro level. For example, if the policy discriminates against the population related to your practice situation, provide a plan for how you might advocate for change for your individual client(s), the agency, or at the legislative level.

    **Ethical Challenge and/or Value Conflict**

    · Identify and describe one or more potential ethical or values conflict(s) related to the policy as it applies to this practice situation.

    **Required – 3 pages for this section.**

    (Please use the references that you mentioned in the outline for this section and you can also add additional references) Please also use subheadings as needed.

    Please find attached the outline that was completed as the first part of this assignment. This outline will serve as the foundation for the remaining sections.

    I’ve also attached the full assignment description and instructions, which detail the requirements for each section. These sections are due every two weeks, and I will be submitting a request for each part accordingly. You’ve already completed the Integrative Paper Outline and Client Overview. Now we’re on the 3rd part.

    Please continue to follow the structure established in the initial outline. Each section has specific page requirements, which I will clearly indicate when assigning them every two weeks. The sections that is likely to have more page requirements are Engagement, Assessment, Human Behavior and the Social Environment, Policy and Social Justice, and Intervention and Evaluation.

    Thank you again for all your help.

    **_Full Description of Major Assessments and Examinations_**

    The purpose of this paper is to demonstrate a comprehensive understanding of practice and theory in your area of specialization. Select a client, client system or target population from your graduate level social work Practicum. The selected client or client system should reflect your chosen specialization. For example, if you are a CAP student you should select an agency, community or other social intervention. If your specialization is mental health, you should chose an individual, family or small group with mental health and/or substance misuse issues and concerns. If your area of specialization is family and children, you should choose an individual, family or small group with issues and concerns related to family and children. The client system you choose for your paper should be a real case from your Practicum placement. If you have an issue or problem with selecting a case from your Practicum placement, please see or talk with your instructor. All exceptions must be approved by the instructor. In no circumstances are family members, friends, or characters from media to be used as the client system in the paper.

    (My specialization is Mental health)

    **Integrative Paper Outline**

    Use the template in the assignments module to complete the outline assignment. The template is set up so you can compose directly onto the document, save, and upload as your assignment submission.

    **Client Situation. (Overview)**

    Describe the client system. (e.g., individual, family, other small group, larger group, team, program, agency, organization or community) and the client’s situation that is the reason for your intervention. Include a discussion of how this client’s situation fits into your area of specialization. For example, if your area of specialization is mental health, describe how the client’s issues/concerns fit the definition of mental health, mental illness, and/or mental well-being.

    Apply, synthesize and analyze knowledge, theory, and skills in relation to the client system.

    **Engagement, Assessment, Human Behavior and the Social Environment**

    Describe how you did engage the client in the assessment and intervention. What specific skills did you use to engage the client?

    Describe your efforts to collect, organize and interpret information about the client. What are the client’s strengths and limitations?

    Your assessment should include a discussion of relevant issues of age, class, color, disability, ethnicity, family structure, gender, marital status, national origin, race, religion, sex, stigma, and/or sexual orientation as applicable to your client. Be sure that your discussion of diversity links well with the client and or client situation.

    Discuss how the issues of social and economic justice and human and civil rights may relate to this specific practice situation.

    Select and describe one or more of the most relevant HBSE theories that contribute to the client’s issues and concerns.

    Briefly explain the theory and how this theory is relevant to your client’s area of concern/problem situation.

    **Policy and Social Justice**

    Select and describe one or more of the most relevant social policies relevant to the practice situation. This policy section refers to state and federal policies (laws, court decisions, or regulations), not agency policy. Be sure to cite the laws and policies correctly (as you should with all literature you reference).

    Briefly explain the policy and how it is relevant to your client’s area of concern/problem situation.

    Use a policy analysis model to analyze the effectiveness of the policy for the general client group you have chosen and then your client specifically. Include carefully referenced literature sources including books; peer-reviewed journal articles; research studies; government documents, reports and data; and web sites. While this is not expected in the space available to be a full policy analysis, you should draw on one of the policy analysis models with which you are familiar, and reference the model fully.

    Based on your analysis, what would you advocate in terms of policy review, application, formulation, or revision?

    **Intervention and Evaluation**

    Present a mutually developed and agreed upon intervention strategy with specific goals and objectives. Provide a rationale for your selection.

    Describe your intervention from beginning to end, including termination. How did you help the client prevent or resolve problems? How did you negotiate mediate and advocate for your client. Select and discuss at least 3 practice skills (micro/macro) used in your intervention with the client.

    Write a critique of your work with the client. What did you do well in terms of the intervention? What could have been done to improve the outcomes with the client? How was the intervention empowering? How may it have been discriminatory or oppressive?

    Provide a discussion of whether the intervention was developed from a theoretical practice model. If so, which practice theory? If not, what practice theory could have been used to facilitate better outcomes? Regardless, analyze and provide evidence- based knowledge about the theory-based intervention (used or proposed) and its effectiveness.

    Select one of the methods used to evaluate change and improvement with clients/client systems (single subject, pretest/posttest or other). Provide a rationale for the evaluation method you selected. Describe the method and how you would facilitate using that method to collect data to assess change and improvement.

    **Ethics and Conclusion**

    Critically review your practice situation and intervention as an external observer and comment on the following:

    Identify and describe one or more potential ethical and values issues related to this practice situation. Be sure to reference the NASW Code of Ethics in your discussion.

    Discuss how this assignment raises issues of professional strengths and challenges. Formulate a plan for lifelong professional learning and continuing education.

    NOTE: The final document should be between 20-25 double-spaced pages (not including references or a cover page) and in 12-point font. Your paper must adhere to APA style (6th edition).

    **IntegrativePaperOutline1stPart-.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/integrativepaperoutline1stpart-docx)

    **## ClientOverview2ndPart-.docx**

    5

    **Client Overview**

    **Client Overview**

    This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington, Texas, and his struggles with generalized anxiety disorder and alcohol dependency. They are treated with dual diagnosis within the Mental Health and Substance Misuse specialization, and the overview sets the context for this treatment.

    **Practice Setting**

    The client practice setting is Center to Rise Wellness Spa Studio, Arlington, Texas. The specialty of this therapy clinic is mental health and substance misuse interventions with individual therapy, group support, and holistic wellness services like mindfulness and stress management. The agency’s multidisciplinary team provides a recovery-supportive environment, especially for individuals with co-occurring disorders, by using evidence-based practices to treat complex needs (Center to Rise Wellness Spa Studio, 2023). It focuses on dual-diagnosis treatment, which meets the client’s needs in a community-based setting.

    **Practice Situation**

    This is a client who is a 35-year-old person who has generalized anxiety disorder and alcohol dependency, which hinder the client’s employment and social relationships. Their anxiety is persistent, uncontrollable worry that interferes with daily functioning and causes emotional distress. Alcohol use is used as a maladaptive coping mechanism, which worsens social isolation and occupational instability and thus perpetuates the cycle of dependency (SAMHSA, 2024). This dual diagnosis is a complicated practice situation that requires integrated therapeutic interventions to deal with both problems simultaneously. The client’s challenges point to the interplay between mental health and substance misuse and the need for tailored, evidence-based strategies for recovery and enhancing quality of life.

    **Connection to Specialization**

    The mental health and substance misuse specialization directly relates to the client’s co-occurring disorders. But their challenges illustrate the importance of integrated care models that address mental health and substance use at the same time. Dual-diagnosis treatment, as SAMHSA (2024) states, can be effective only when it is comprehensive and includes therapy, motivational strategies, and relapse prevention. The specialization’s concentration on handling intricate situations involving the combination of anxiety and alcohol dependency, as found in the client’s situation, emphasizes the need for evidence-based approaches, for example, motivational interviewing and cognitive behavioral therapy (Lee & Sherman, 2024). Specialized knowledge of the client and the care system can be used in this case to create client-centered interventions, advocate for equitable care, and work to dismantle systemic barriers to recovery.

    **Social and Contextual Factors**

    The client’s low socioeconomic status and limited access to resources in Arlington only exacerbate their challenges, which are symptomatic of broader systemic issues in the access to mental health care. Ware (2025) notes that rural and underserved communities often have barriers to integrated treatment, which in turn reduces the client’s ability to consistently engage in care. Other cultural factors, such as stigma associated with mental health and substance use issues, complicate help-seeking behaviors. Culturally adapted engagement strategies are used by social workers in order to build trust and make sure that interventions are resonating with the client’s background (Lee & Sherman, 2024). These factors indicate the need for treatment planning that addresses social determinants of health.

    **Reason for Intervention Need**

    This client is in need of intervention due to the prevalence of co-occurring disorders. According to SAMHSA (2024), an estimated 9.2 million U.S. adults suffer from both mental health and substance use disorders each year, highlighting the public health importance of dual-diagnosis treatment. The client is impaired and using alcohol to cope with this impairment, which indicates the need for immediate intervention to avoid further deterioration. Through the Mental Health and Substance Misuse specialization, the social worker will be able to help the client to work towards recovery while utilizing evidence-based practices in order to provide sustainable results.

    **References**

    Center to Rise Wellness Spa Studio. (2023). About us. Retrieved from
    [https://centertorise.com/](https://centertorise.com/)

    Lee, C. S., & Sherman, D. K. (2024). Integration of motivational interviewing and self-affirmation theory into a culturally adapted motivational interview: A case study.
    _Clinical Case Studies, 23_(3), 212-229.
    [https://doi.org/10.1177/15346501231222554](https://doi.org/10.1177/15346501231222554)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    SAMHSA. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. Retrieved from
    [https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf](https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **## PolicySocialJusticeInstructions.docx**

    Policy And Social Justice Instructions (3rd part of the integrative paper outline)

    **INSTRUCTIONS**

    · For this assignment, identify a social policy that is relevant to the practice situation described in the Client Overview Paper you submitted a couple weeks back. (Client overview is the 2nd part of the paper. You’ve completed the 1st part (integrative outline) and the 2nd part (Client Overview), I’ve attached both the ones you completed for your reference)

    **Step 1: Draft Your Paper**

    · You will write a first draft of your paper and submit for peer feedback. You will get the most out of this activity if your draft paper is as developed as possible.

    **Policy Selected**

    · Provide an overview of the policy and describe how it applies to the practice situation. This policy should be an existing current state or federal policy (e.g., laws, court decisions, or regulations), rather than an agency policy. Make sure to cite the policy. Do not use an agency, organization or internal hospital policy.

    · Here are a few ideas for Social Policies:

    · secularization-separation of church and state

    · funding of faith-based organizations

    · policies related to discrimination

    · poverty

    · child support policies

    · TANF

    · Supplemental Social Security (disabled adults, children with severe disabilities)

    · working poor, minimum wage

    · general assistance programs,

    · food stamps, free lunch programs, emergency food program assistance program, summer food

    · service program, special milk program, school breakfast program

    · Farming policy; dumping of toxic waste

    · Social Insurance

    · Unemployment, SS Disability

    · Medicare

    · Social Security

    · Workers Compensation

    · Assets for Independence Act (individual development accounts for low income)

    · Tax policy—federal and state, Fiscal Cliff

    · Health care policy

    · Affordable Care Act implementation

    · Medicare reforms

    · Medicaid

    · State Children’s Health Insurance Program (S-Chips)-federal/state partnership to cover uninsured children

    · reimbursement rates

    · nursing home, hospitals

    · health maintenance organizations (HMOs), managed care

    · underinsured, uninsured, COBRA

    · Corrections

    · Drug policies

    · Gun Control

    · Mental Health

    · The Community Mental Health Centers Act

    · deinstitutionalization

    · substance abuse

    · Mental Health Parity Act

    · Licensing of social workers

    · Sex offender registry

    · Child Welfare policy

    · CAPTA, AACWA, McKinney-Vento Act, Chafee Act

    · Child care policies

    · foster care, adoption, Head Start

    · No Child Left Behind, Race to the Top

    · WIC

    · Housing Policy

    · HUD

    · Section 8

    · International/global policies

    · UN Convention on the Rights of Children

    **Policy Analysis Model**

    · Identify and describe a policy analysis model to be used to evaluate the policy and include a brief analysis of the policy using the model selected. Please make sure to cite the model used. Provide an overview of the policy and describe how it applies to the practice situation.

    · Here are a few helpful resources in this area:

    ·
    [American Association for Policy Analysis and ManagementLinks to an external site.](http://www.appam.org/)

    · McNutt, J. G. & Hoefer, R. (2016).  Chapter 6: Policy Analysis-Tools for Building Evidence-Based Social Policy.  In Social Welfare Policy: Responding to a Changing World. Oxford University Press.

    · Karger, H., & Stoesz, D. (2010). American social welfare policy: A pluralist approach.

    · Bardach, E., & Patashnik, E. M. (2015). A practical guide for policy analysis: The eightfold path to more effective problem solving. CQ press.

    **Policy Recommendations**

    · Based on your review, provide recommendations for policymakers regarding a policy review, application, formulation, and/or revision of the policy.

    **Social Justice Implications**

    · Discuss the social justice implications for the client situation based on the selected policy and provide an advocacy plan at the micro, mezzo, and macro level. For example, if the policy discriminates against the population related to your practice situation, provide a plan for how you might advocate for change for your individual client(s), the agency, or at the legislative level.

    **Ethical Challenge and/or Value Conflict**

    · Identify and describe one or more potential ethical or values conflict(s) related to the policy as it applies to this practice situation.

    **Required – 3 pages for this section.**

    (Please use the references that you mentioned in the outline for this section and you can also add additional references) Please also use subheadings as needed.

    Please find attached the outline that was completed as the first part of this assignment. This outline will serve as the foundation for the remaining sections.

    I’ve also attached the full assignment description and instructions, which detail the requirements for each section. These sections are due every two weeks, and I will be submitting a request for each part accordingly. You’ve already completed the Integrative Paper Outline and Client Overview. Now we’re on the 3rd part.

    Please continue to follow the structure established in the initial outline. Each section has specific page requirements, which I will clearly indicate when assigning them every two weeks. The sections that is likely to have more page requirements are Engagement, Assessment, Human Behavior and the Social Environment, Policy and Social Justice, and Intervention and Evaluation.

    Thank you again for all your help.

    **_Full Description of Major Assessments and Examinations_**

    The purpose of this paper is to demonstrate a comprehensive understanding of practice and theory in your area of specialization. Select a client, client system or target population from your graduate level social work Practicum. The selected client or client system should reflect your chosen specialization. For example, if you are a CAP student you should select an agency, community or other social intervention. If your specialization is mental health, you should chose an individual, family or small group with mental health and/or substance misuse issues and concerns. If your area of specialization is family and children, you should choose an individual, family or small group with issues and concerns related to family and children. The client system you choose for your paper should be a real case from your Practicum placement. If you have an issue or problem with selecting a case from your Practicum placement, please see or talk with your instructor. All exceptions must be approved by the instructor. In no circumstances are family members, friends, or characters from media to be used as the client system in the paper.

    (My specialization is Mental health)

    **Integrative Paper Outline**

    Use the template in the assignments module to complete the outline assignment. The template is set up so you can compose directly onto the document, save, and upload as your assignment submission.

    **Client Situation. (Overview)**

    Describe the client system. (e.g., individual, family, other small group, larger group, team, program, agency, organization or community) and the client’s situation that is the reason for your intervention. Include a discussion of how this client’s situation fits into your area of specialization. For example, if your area of specialization is mental health, describe how the client’s issues/concerns fit the definition of mental health, mental illness, and/or mental well-being.

    Apply, synthesize and analyze knowledge, theory, and skills in relation to the client system.

    **Engagement, Assessment, Human Behavior and the Social Environment**

    Describe how you did engage the client in the assessment and intervention. What specific skills did you use to engage the client?

    Describe your efforts to collect, organize and interpret information about the client. What are the client’s strengths and limitations?

    Your assessment should include a discussion of relevant issues of age, class, color, disability, ethnicity, family structure, gender, marital status, national origin, race, religion, sex, stigma, and/or sexual orientation as applicable to your client. Be sure that your discussion of diversity links well with the client and or client situation.

    Discuss how the issues of social and economic justice and human and civil rights may relate to this specific practice situation.

    Select and describe one or more of the most relevant HBSE theories that contribute to the client’s issues and concerns.

    Briefly explain the theory and how this theory is relevant to your client’s area of concern/problem situation.

    **Policy and Social Justice**

    Select and describe one or more of the most relevant social policies relevant to the practice situation. This policy section refers to state and federal policies (laws, court decisions, or regulations), not agency policy. Be sure to cite the laws and policies correctly (as you should with all literature you reference).

    Briefly explain the policy and how it is relevant to your client’s area of concern/problem situation.

    Use a policy analysis model to analyze the effectiveness of the policy for the general client group you have chosen and then your client specifically. Include carefully referenced literature sources including books; peer-reviewed journal articles; research studies; government documents, reports and data; and web sites. While this is not expected in the space available to be a full policy analysis, you should draw on one of the policy analysis models with which you are familiar, and reference the model fully.

    Based on your analysis, what would you advocate in terms of policy review, application, formulation, or revision?

    **Intervention and Evaluation**

    Present a mutually developed and agreed upon intervention strategy with specific goals and objectives. Provide a rationale for your selection.

    Describe your intervention from beginning to end, including termination. How did you help the client prevent or resolve problems? How did you negotiate mediate and advocate for your client. Select and discuss at least 3 practice skills (micro/macro) used in your intervention with the client.

    Write a critique of your work with the client. What did you do well in terms of the intervention? What could have been done to improve the outcomes with the client? How was the intervention empowering? How may it have been discriminatory or oppressive?

    Provide a discussion of whether the intervention was developed from a theoretical practice model. If so, which practice theory? If not, what practice theory could have been used to facilitate better outcomes? Regardless, analyze and provide evidence- based knowledge about the theory-based intervention (used or proposed) and its effectiveness.

    Select one of the methods used to evaluate change and improvement with clients/client systems (single subject, pretest/posttest or other). Provide a rationale for the evaluation method you selected. Describe the method and how you would facilitate using that method to collect data to assess change and improvement.

    **Ethics and Conclusion**

    Critically review your practice situation and intervention as an external observer and comment on the following:

    Identify and describe one or more potential ethical and values issues related to this practice situation. Be sure to reference the NASW Code of Ethics in your discussion.

    Discuss how this assignment raises issues of professional strengths and challenges. Formulate a plan for lifelong professional learning and continuing education.

    NOTE: The final document should be between 20-25 double-spaced pages (not including references or a cover page) and in 12-point font. Your paper must adhere to APA style (6th edition).

    **IntegrativePaperOutline1stPart-.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/integrativepaperoutline1stpart-docx)

    – 1
    – 2
    – 3

  • [Solved] 506 Discussion 5

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    – ## MODULE5NUR506.docx **## MODULE5NUR506.docx** Module 5 Discussion ![null](https://www.sweetstudy.com/questions/506-discussion-5) ![icon](https://www.sweetstudy.com/questions/506-discussion-5)**_Issues in Today's Workforce Culture_** Based on your reading in chapter 60, why do you think the issue…

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    – ## MODULE5NUR506.docx

    **## MODULE5NUR506.docx**

    Module 5 Discussion

    ![null](https://www.sweetstudy.com/questions/506-discussion-5)

    ![icon](https://www.sweetstudy.com/questions/506-discussion-5)**_Issues in Today's Workforce Culture_**

    Based on your reading in chapter 60, why do you think the issues presented in this chapter persist in today’s workforce culture?

    **Submission Instructions:**

    · Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

    · Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

    · Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.

    ## image1.png

    ## image2.png

    **## MODULE5NUR506.docx**

    Module 5 Discussion

    ![null](https://www.sweetstudy.com/questions/506-discussion-5)

    ![icon](https://www.sweetstudy.com/questions/506-discussion-5)**_Issues in Today's Workforce Culture_**

    Based on your reading in chapter 60, why do you think the issues presented in this chapter persist in today’s workforce culture?

    **Submission Instructions:**

    · Your initial post must be at least 500 words, formatted, and cited in current APA style with support from at least two academic sources.

    · Quotes “……” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

    · Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years-no websites to be referenced without prior approval.

    ## image1.png

    ## image2.png

  • [Solved] can

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    \
    emptyfile.docx](https://www.sweetstudy.com/files/emptyfile-docx-10321749 "emptyfile.docx")

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  • [Solved] Case Study

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    Renal dialysis – ## NRS-455-RS-T3-CaseStudyMrD.docx **## NRS-455-RS-T3-CaseStudyMrD.docx** ![](https://www.sweetstudy.com/questions/case-study-20922021) **Case Study: Mr. D.** **Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Compl…

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    Renal dialysis

    – ## NRS-455-RS-T3-CaseStudyMrD.docx

    **## NRS-455-RS-T3-CaseStudyMrD.docx**

    ![](https://www.sweetstudy.com/questions/case-study-20922021)

    **Case Study: Mr. D.**

    **Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit this completed template to the assignment dropbox.**

    **Case Study: Mr. D.**

    It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

    Evaluate the Health History and Medical Information for Mr. D., presented below.

    **_Health History and Medical Information_**

    Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in the last 5 years and practices the Muslim faith. He reports that he avoids all pork products. His complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating exercise program. Patient comorbidities include obesity with a body mass index (BMI) of 45, type II diabetes mellitus with long-term insulin use, hypertension, sleep apnea, depression with lack of family support and understanding, and diabetic neuropathy. Patient denies suicidal ideation but does report feelings of loneliness and helplessness. Mr. D. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

    _Objective Data:_

    1. Height: 68 inches; weight 134.5 kg

    2. BP: 140/94, HR 84, RR 22

    3. 2+ pitting edema bilateral feet and ankles

    4. Fasting blood glucose: 146 mg/dL

    5. Total cholesterol: 250 mg/dL

    6. Triglycerides: 312 mg/dL

    7. HDL: 30 mg/dL

    8. Serum creatinine 1.8 mg/dL

    9. BUN 32 mg/dl

    10. GRF (glomerular filtration rate)-13mL/min

    | | |
    | — | — |
    | **Clinical Manifestations**<br>_Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal findings and how this relates to his current condition._ |
    | _Subjective_ | |
    | _Objective_ | |
    | **Potential Health Risks for Diabetes With End-Stage Renal Disease**<br>_Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence._ |
    | _Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D._ | |
    | _How does Mr. D.'s nonadherence to his diabetes self-management plan for DM Type II contribute to ESRD?_ | |
    | _Describe the common considerations with insulin use for practicing Muslims._ | |
    | **Pathophysiology of Renal Dialysis**<br>_Explain the pathophysiology of renal dialysis._ |
    | _Explain the pathophysiology of renal dialysis. Compare peritoneal dialysis and hemodialysis._ | |
    | _Describe in detail the pathophysiological explanation and stages of renal disease that leads to ESRD._ | |
    | _Explain the potential factors that contributed to Mr. D.'s ESRD._ | |
    | **Functional Health Problems**<br>_Evaluate of Mr. D.'s functional health patterns._ |
    | _Evaluate each of Mr. D.'s functional health patterns using the information given._ | |
    | _Discuss at least five actual or potential problems you can identify from the "Functional Health Patterns Assessment Guide," located in the Topic 3 Resources. Provide a rationale for each._ | |
    | **Nursing Health Management and Health Promotion**<br>_Provide ESRD nursing management and health promotion opportunities._ |
    | _Provide ESRD nursing management and health promotion opportunities._ | |
    | _Develop a patient education plan for ESRD that could be offered to Mr. D. for prevention of future events, health restoration, and maintaining renal status._ | |
    | _Assume Mr. D. lives in your community. Include community resources and supportive care available for Mr. D. for ESRD care and management at home._ | |
    | _Discuss the nurse's role in using the holistic multidisciplinary care approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence._ | |

    © 2024. Grand Canyon University. All Rights Reserved.

    2

    ## image1.jpeg

    **## NRS-455-RS-T3-CaseStudyMrD.docx**

    ![](https://www.sweetstudy.com/questions/case-study-20922021)

    **Case Study: Mr. D.**

    **Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit this completed template to the assignment dropbox.**

    **Case Study: Mr. D.**

    It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

    Evaluate the Health History and Medical Information for Mr. D., presented below.

    **_Health History and Medical Information_**

    Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in the last 5 years and practices the Muslim faith. He reports that he avoids all pork products. His complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating exercise program. Patient comorbidities include obesity with a body mass index (BMI) of 45, type II diabetes mellitus with long-term insulin use, hypertension, sleep apnea, depression with lack of family support and understanding, and diabetic neuropathy. Patient denies suicidal ideation but does report feelings of loneliness and helplessness. Mr. D. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

    _Objective Data:_

    1. Height: 68 inches; weight 134.5 kg

    2. BP: 140/94, HR 84, RR 22

    3. 2+ pitting edema bilateral feet and ankles

    4. Fasting blood glucose: 146 mg/dL

    5. Total cholesterol: 250 mg/dL

    6. Triglycerides: 312 mg/dL

    7. HDL: 30 mg/dL

    8. Serum creatinine 1.8 mg/dL

    9. BUN 32 mg/dl

    10. GRF (glomerular filtration rate)-13mL/min

    | | |
    | — | — |
    | **Clinical Manifestations**<br>_Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal findings and how this relates to his current condition._ |
    | _Subjective_ | |
    | _Objective_ | |
    | **Potential Health Risks for Diabetes With End-Stage Renal Disease**<br>_Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence._ |
    | _Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D._ | |
    | _How does Mr. D.'s nonadherence to his diabetes self-management plan for DM Type II contribute to ESRD?_ | |
    | _Describe the common considerations with insulin use for practicing Muslims._ | |
    | **Pathophysiology of Renal Dialysis**<br>_Explain the pathophysiology of renal dialysis._ |
    | _Explain the pathophysiology of renal dialysis. Compare peritoneal dialysis and hemodialysis._ | |
    | _Describe in detail the pathophysiological explanation and stages of renal disease that leads to ESRD._ | |
    | _Explain the potential factors that contributed to Mr. D.'s ESRD._ | |
    | **Functional Health Problems**<br>_Evaluate of Mr. D.'s functional health patterns._ |
    | _Evaluate each of Mr. D.'s functional health patterns using the information given._ | |
    | _Discuss at least five actual or potential problems you can identify from the "Functional Health Patterns Assessment Guide," located in the Topic 3 Resources. Provide a rationale for each._ | |
    | **Nursing Health Management and Health Promotion**<br>_Provide ESRD nursing management and health promotion opportunities._ |
    | _Provide ESRD nursing management and health promotion opportunities._ | |
    | _Develop a patient education plan for ESRD that could be offered to Mr. D. for prevention of future events, health restoration, and maintaining renal status._ | |
    | _Assume Mr. D. lives in your community. Include community resources and supportive care available for Mr. D. for ESRD care and management at home._ | |
    | _Discuss the nurse's role in using the holistic multidisciplinary care approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence._ | |

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  • [Solved] Catherine Owens

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  • [Solved] 6503-4

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    – Review this week’s Learning Resources on process recordings. – Access the Field Experience webpage in the Learning Resources. Review the materials on process recordings, including the example completed recording. Then, download the Process Recording Template for Concentration Year and use it for t…

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    Assignment Prompt & Instructions

    – Review this week’s Learning Resources on process recordings.
    – Access the Field Experience webpage in the Learning Resources. Review the materials on process recordings, including the example completed recording. Then, download the Process Recording Template for Concentration Year and use it for this Assignment.
    – Recall the interactive media from Week 3 ( _Theory-Driven Advanced Practice_) in which you engaged with a client. You may revisit this media piece in the Learning Resources above if needed.
    – Now, imagine that you have just met with this client and need to complete a process recording of your session.
    Using the Process Recording Template for Concentration Year, complete a practice process recording based on your engagement with the client in the _Theory-Driven Advanced Practice_ interactive media. Specifically:
    – Provide a transcript of your dialogue with the client.
    – Identify your application of specific theories, practice models, techniques, and skills within the interaction.
    – Analyze the interaction by interpreting the client’s verbal and nonverbal responses.
    – Describe your reactions, including what you were thinking and feeling, and/or any issues related to the client interaction.
    \
    Process_Recording_Advanced_2019_77__96_.docx](https://www.sweetstudy.com/files/process-recording-advanced-2019-77-96-docx-10321771 "Process_Recording_Advanced_2019_77__96_.docx")
    \
    WAL_SOCW6530_WK3_TheoryDrivenAdvancedPractice_transcript.pdf](https://www.sweetstudy.com/files/wal-socw6530-wk3-theorydrivenadvancedpractice-transcript-pdf "WAL_SOCW6530_WK3_TheoryDrivenAdvancedPractice_transcript.pdf")
    \
    WK8Assgn_ROSA_Z.docx](https://www.sweetstudy.com/files/wk8assgn-rosa-z-docx "WK8Assgn_ROSA_Z.docx")