Military culture

Military culture

Military culture

Military culture is a combination of beliefs, ideologies, worldviews, and perceptions that determines their style, functions, task response, dedication to service, and loyalty to their superiors. According to Hall (2012), this culture is unique from the rest of the civilians and should be understood by different professionals before offering help or services to the military groups. Working with military families requires a clear understanding of the military culture, including the spoken and unspoken assumptions. Their children are affected by this culture since one of the parents is often absent and separated from normal society. Ordinary citizens have their perceptions of the military culture, and some of their concepts lead to young people desiring to join the military. These perceptions include monetary benefits and a sense of identity or belonging. Parents will encourage their sons or daughters to join the military if they have no drive or focus because military culture is known to give young people direction and focus.

The military culture is shaped by its core values, including subordination of oneself to the greater good of the group, clear rules, and sacrifice for a greater course. The changing culture accommodates the societal and international dynamics that affect security measures. When working with military groups or individuals, it’s crucial to respect and comply with their sense of identity as people who offer security for others, are mission-focused, and are oriented to results (Dandeker, 2021). Understanding this culture becomes essential when working with soldiers to reach their goals and personal growth and prioritize their mission priorities and their families. It is advised that psychologists who work in the military department to respect this culture to ensure progress and validity of their work.

 

References

Dandeker, C. (2021). On ‘the need to be different: recent trends in military culture. The British Army, manpower and society into the twenty-first century, 173-187.

Hall, L. K. (2012). The importance of understanding military culture. In Advances in social work practice with the military (pp. 3-17). Routledge.

 
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Care Coordination for a Nursing Home_ Assignment Help

Care Coordination for a Nursing Home

In nursing, the code of ethics guides the coordination of care, the decisions they make, and their impact on the patient and the general community. A nursing home requires a code of ethics because it influences care coordination in its facility. The selected group is a nursing home in California, United States. The group deals with caring for older people who are not safe to receive care in their homes. However, various government policies and provisions affect care coordination in the nursing home; the policies raise ethical questions. The paper explains the care coordination in a nursing home and how the code of ethics for nurses affects care coordination.

How Governmental Policies Related to the Health and Safety of the Community Affect the Coordination of Care

Communities operate in the context of the state and federal policies that the government develops to protect the people. Government policies related to the health and safety of a community affect the coordination of care by influencing the decisions made on people’s health. When healthcare providers in the community coordinate the care of the community, there are government policies that they consider essential in influencing their decisions. One of the specific policies affecting the nursing home involves the Affordable Care Act. The policy makes health insurance a legal expectation. According to the Act, most U.S. citizens can apply for health insurance coverage (Collins & Saylor, 2018). People who fail to secure insurance coverage from their employers can consider the minimum essential coverage, including Medicare or Medicaid. The policy affects the coordination of care in the nursing home by ensuring that people can get the necessary care services with or without insurance. The government uses this policy to protect the people in this nursing home from the high cost of medical care that they may incur while seeking the services.

The Health Insurance Portability and Accountability Act (HIPPA) is the other specific nursing home policy. The policy formed in 1996 protects the patients from discrimination brought by their health problems. In the nursing home, there might be a scenario where patients are denied healthcare services because of their health problems. However, HIPPA influences the coordination of care in the organization by ensuring that all the patients get an equal treatment that is safe regardless of their health problems.

National, State, and Local Policy Provisions that Raise Ethical Questions or Dilemmas for Care Coordination

The United States faces many ethical questions in its policy provisions related to care coordination. Some policy provisions are in the national and state government, while others are local. At the federal level, the Patient Protection and Affordable Care Act is a policy provision that raises ethical questions in care coordination. Despite the benefits of the policy provision for United States citizens, the policy is not clear for immigrants seeking medical help from different healthcare facilities (Townsend et al., 2017). For example, some immigrants need nursing home services; the Patient Protection and Affordable Care Act may fail to protect them, raising an ethical dilemma in care coordination.

The state policy provision requires the citizens to have health insurance. For example, in California, the state government provides Californians with health insurance when seeking medical help. The policy was referred to as an individual mandate because it required all people in the state to have insurance coverage. However, the provision raised ethical concerns because it did not address the issue of employers who deny employees insurance coverage. Local policy provisions also raise ethical questions for care coordination (Townsend et al., 2017). The local government provides U.S. citizens with quality healthcare from government health facilities. However, the issue of the increased cost of healthcare raises ethical concerns. An ethical dilemma may arise in care coordination as physicians handle poor patients without adequate financial support. Some services required by the patient may be expensive in a nursing home, thus raising the question of whether physicians should treat the patients or send them away. Despite the government spending a lot of revenue on drugs, the healthcare cost remains high in the United States for low-income families to afford.

Assess the Impact of the Code of Ethics for Nurses on the Coordination and Continuum of Care

The code of ethics for nurses set provisions that guide communication and interaction among interdisciplinary members during care coordination. The provisions enable nurses to uphold their role in developing strategies and aligning with family and patients at all points of the continuum of care. The code is essential for prioritizing policy options for advancing care coordination and proposing actionable strategies and leadership to advance the implementation of the continuum of care. Nurses rely on the code of ethics when undertaking their medical role in supporting patients while upholding morals in the health care practice (Bower, 2016). The code of ethics enables nurses to accord patients respect and offer the best services. Ethical codes that guide nursing practice may sometimes limit nurses’ creativity during care coordination. The situation might significantly affect care coordination which interferes with the quality of continuum of care implementation.

Factors contributing to health entail the situations and issues surrounding where a person is born, lives, works, and grows. Personal, environmental, social, and economic factors contribute to a person’s health. The factors involve medical care, genetics, environmental influences, behavior, and social factors. The health of any person largely depends on the factors surrounding work and lifestyle. Social determinants are responsible for health disparities that people experience when accessing health.

Health people 2020 explains issues that contribute to health disparities and how society can live healthily. Health people 2020 targets social determinants of health that contribute to health disparities. The determinants involve the factors that affect a person’s health and satisfaction. The framework categorizes social determinants of health into five groups: social context, economic stability, health, health care, environment, and education. Community organizations that focus on health require collaboration programs to address a society’s health needs.

Key Ethical and Policy Issues in a Presentation Affecting the Coordination and Continuum of Care for a Nursing Home

Nursing homes experience a significant effect of government policies and laws that focus on improving overall health provision to society. Policy issues like laws and government regulations significantly affect care coordination in nursing homes. For example, HIPAA provisions require nursing homes to offer the security of patient health information. The policies focus on expanding healthcare coverage admittance, advancing preventive consideration, and lower medical expenses. Policy issues that require nursing homes to increase the delivery of quality care affect the coordination of care in the facilities because of poor staffing (Lamb et al., 2015). Ethical issues affecting coordination and care continuum in nursing homes involve providing care during acuity. Policies requiring nursing homes to cater to excess patients requiring acute care contribute to ethical issues. Patient neglect is prevalent in such situations where poor staffing worsens that issue.

Nursing homes have little to contribute to the overall economy; hence, they have few benefits to gain from care continuum of care. Policy issues guiding care coordination in nursing homes enable the community to access care services that align with the nursing code of ethics. Ethical issues that guide nurses to offer the best medical care facilitate effective implementation of coordination and continuum of care in a nursing home. Community organizations play a vital role in helping people avoid health determinants and achieve well-being and personal satisfaction.

Conclusion

Coordination of care in nursing homes can be affected by the government policies and provisions provided. The policies influence the decisions made in health facilities; as a result, this affects care coordination. Nurses rely on the code of ethics to execute care coordination while upholding morals in the health care practice. Health people 2020 targets social determinants of health that contribute to health disparities. Policy issues that require nursing homes to increase the delivery of quality care affect the coordination of care in the facilities because of poor staffing.

 

 

References

Bower, K. A. (2016). Nursing leadership and care coordination: creating excellence in coordinating care across the continuum. Nursing administration quarterly40(2), 98-102.doi: 10.1097/NAQ.0000000000000162

Collins, B. L., & Saylor, J. (2018). The Affordable Care Act: 8 years later. Nursing Management49(8), 42-48. doi: 10.1097/01.NUMA.0000538917.37912.d4

Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., … & Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing outlook63(4), 521-530.http://dx.doi.org/10.1016/j.outlook.2015.06.003

Townsend, C. S., McNulty, M., & Grillo-Peck, A. (2017). Implementing huddles improves care coordination in an academic health center. Professional Case Management22(1), 29-35. https://doi.org/10.1097/NCM.0000000000000200

 
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Reflective Analysis of Shadow Health Virtual Assignments

 Reflective Analysis of Shadow Health Virtual Assignments

Shadow Health Virtual Assignments

Introduction; Shadow Health Virtual Assignments

Engaging in virtual assignments through platforms like Shadow Health can provide valuable opportunities for healthcare professionals to enhance their clinical skills and critical thinking abilities. In this reflective essay, I will explore my experience with the Shadow Health Musculoskeletal and Neurological assignments, highlighting the successes, challenges, findings, and areas for improvement.

What Went Well in My Assessment?

One aspect that went well in my assessment was my ability to navigate through the virtual patient encounter smoothly. The platform’s user-friendly interface facilitated seamless interaction with the virtual patient, allowing me to conduct a comprehensive assessment of their musculoskeletal and neurological systems. Additionally, I found that my communication skills improved as I effectively elicited the patient’s history and addressed their concerns.

What Did Not Go So Well? What Will I Change for My Next Assessment?

One area that presented challenges was interpreting certain physical examination findings accurately. While I was able to identify some abnormalities, there were instances where I struggled to differentiate between similar clinical manifestations. To address this, I plan to dedicate more time to reviewing relevant anatomy and refining my examination techniques before the next assessment. Additionally, seeking feedback from peers or instructors could provide valuable insights for improvement.

What Findings Did I Uncover? Shadow Health Virtual Assignments

During the assessment, I uncovered several findings related to both the musculoskeletal and neurological systems. These included muscle weakness, decreased range of motion, altered sensation, and abnormalities in reflexes. These findings provided valuable clues for further investigation and helped guide my diagnostic reasoning process.

What Questions Yielded the Most Information? Why Do I Think These Were Effective? Shadow Health Virtual Assignments

The questions that yielded the most information were those focused on the onset, duration, and characteristics of the patient’s symptoms. By obtaining a detailed history, including precipitating factors and associated symptoms, I was able to gather essential information to formulate differential diagnoses and guide subsequent management strategies. Additionally, open-ended questions encouraged the patient to express their concerns and provided valuable insights into their perspective.

What Diagnostic Tests Would I Order Based on My Findings? Shadow Health Virtual Assignments

Based on my findings, I would consider ordering diagnostic tests such as X-rays, MRI, or CT scans to further evaluate musculoskeletal abnormalities such as fractures, dislocations, or soft tissue injuries. Additionally, nerve conduction studies or electromyography may be warranted to assess nerve function and detect any underlying neurological conditions contributing to the patient’s symptoms.

What Differential Diagnoses Am I Currently Considering?

The differential diagnoses I am currently considering include musculoskeletal disorders such as osteoarthritis, rotator cuff injury, carpal tunnel syndrome, and neurological conditions such as peripheral neuropathy or radiculopathy. Each differential diagnosis requires careful consideration of the patient’s history, physical examination findings, and relevant diagnostic tests to arrive at an accurate diagnosis. Shadow Health Virtual Assignments

What Patient Teaching Were I Able to Complete? What Additional Patient Teaching Is Needed?

During the assessment, I provided patient teaching on the importance of maintaining proper body mechanics, performing range of motion exercises, and managing pain effectively. However, additional patient teaching is needed regarding medication management, adherence to treatment plans, and strategies for preventing further injury or exacerbation of symptoms.

Would I Prescribe Any Medications at This Point? Why or Why Not? If So, What?

At this point, I would consider prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics to alleviate pain and inflammation associated with musculoskeletal conditions. Additionally, muscle relaxants may be indicated to relieve muscle spasms and improve mobility. However, I would exercise caution and consider the patient’s medical history, allergies, and potential drug interactions before prescribing any medications. Shadow Health Virtual Assignments

Conclusion

Engaging in virtual assignments through platforms like Shadow Health provides valuable opportunities for healthcare professionals to enhance their clinical skills and critical thinking abilities. Reflecting on my experience with the Musculoskeletal and Neurological assignments, I have identified areas of success, challenges, and opportunities for improvement. By incorporating feedback, refining examination techniques, and continuing to expand my knowledge base, I am confident in my ability to provide high-quality patient care in clinical practice.

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Misconceptions about Relapse

Subject: Psychology
Pages 4 (1200 Words)
Sources 3
Spacing Double
PowerPoint Slides 0
Charts 0
Citation APA

Paper details

Consider misconceptions about relapse from one or more of these 3 perspectives:

In the past, did you hold misconceptions about relapse? Why did your perspective change (or is it still in the process of changing)?

Do you have friends, family members, or colleagues who hold misconceptions about relapse? Consider what you’d say or do to change their viewpoint.

Have you seen a TV series, movie, or book take an approach that reinforces misconceptions about relapse? If so, how would you change the story line to model a better approach?

For whichever of these perspectives you chose, did bias against marginalized groups influence (either consciously or unconsciously) someone’s viewpoint?

Write your response in a 1,000-1,200 word paper. I have attached the reading for this week, you can use it if needed  https://www.mindtools.com/a4wo118/smart-goals

 

 

 

 

 

Misconceptions about Relapse

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Misconceptions about Relapse

Relapse is when an individual stops the maintenance of their target to reduce the alcohol or other drug’ usage and returns to their previous state. When people begin the use of drugs, they require a plan to stop and improve their condition (Ma et al., 2019). However, when the condition improves, the patients may relapse when they stop the improvement plan and begin using drugs. A relapse can be caused by a situation that had caused the person to use drugs reoccurring. Personal challenges and physical health issues can also contribute to relapse. Financial hardship and social isolation are some of the personal challenges which can contribute to a person starting the use of drugs even after improvement. People hold many misconceptions about relapse, which place the blame on the individuals who were improving but suddenly changed. While growing, I had different beliefs concerning relapse. The paper explains my misconceptions about relapses and how they have changed.

My Past Misconceptions about Relapse and Why My Perspective Changed

In the past, I had various misconceptions about relapse, which affected how I viewed individuals on drug use. One of my misconceptions was that all addicts who abstain from alcohol and drugs for a while and then return to alcohol or drug use have experienced a relapse. I did not know the causes of relapse in humans. Therefore, I could connect every condition where a person who was improving after substance use and later began using drugs to relapse. My perspective on relapse changed after getting an education concerning the condition of people. I understood that different situations could cause an improving substance use individual to begin using drugs. The situations are different from relapse. For instance, a slip occurs when someone returns to substance use without noticing (Seyedfatemi & Saber, 2022). The situation differs from relapse because it is not intentional for the patients to begin using alcohol again. Likewise, the patients do not understand the triggers for alcohol in this situation.

The other misconception about the relapse was that it occurred because the patient dropped out of treatment. In the past, I believed that people relapse when they stop their treatment. Many patients are put on medications or behavioral therapy during rehabilitation for drug use to stop their substance use habit. Therefore, I had a misconception that once the patients returned to the relapse, it showed that they had stopped their medications. My perspective on treatment and relapse changed after noticing that some patients can relapse even while on drug use treatment. Many persons relapse within the first few weeks after treatment to avoid the symptoms associated with withdrawal from treatment (Ma et al., 2019). Since there might be some post-acute symptoms, some patients might begin substance use to counter the effects. However, the main cause of relapse is not the stoppage of treatment; other factors can contribute to relapse. For instance, a person may relapse during treatment because of other factors like trauma and societal discrimination.

The avoidance of relapse through self-discipline and willpower is a misconception I previously held. I thought people with self-discipline and willpower could conquer relapse and stop drug use. While self-discipline and willpower are imperative for a person to recover from relapse, they are not the only elements determining an individual’s condition during relapse. However, I came to understand that the statement was a misconception because of the difference in complexity of people’s addictions to drug use. Impaired decision-making is a problem that might occur, causing individuals to relapse. When a relapse caused by impaired decision-making occurs, controlling it using self-discipline and willpower is challenging (Ma et al., 2019). My perspective changed because I have interacted with substance-use people with self-discipline and willpower who cannot control their relapse. One of the individuals experiences stress and emotional trauma because of the loss of their loved ones in a disaster. As a result, they cannot control the relapse because of the external factors affecting their brain structure, causing them to relapse.

I also help a misconception in the past that relapse occurs in cases of alcohol and drug use. I believed that relapse was only associated with substance use. The statement is a misconception because relapses, like mental health and diet, can occur in other cases. For instance, some individuals might be on a certain diet and exercise to reduce their weight. However, they might relapse and gain weight, making them return to their previous state. I changed my perspective because I learned that any behavior which requires change can be associated with relapse. I believed relapse-prone patients are not motivated to recover from their problems. In the past, I thought that patients are had the problem of relapse could not be helped. My perspective is still changing because I have not seen patients who were in relapse recover from that condition despite the knowledge I have gained on the issue of relapse.

How Bias against Marginalized Groups Influence My Perspective on Relapse

Marginalized groups involve people at risk of discrimination because of their diverse personal characteristics. The bias against marginalized groups may occur when people hold certain beliefs and attitudes towards others because of their characteristics, leading to discrimination. In the past, I had a significant bias against marginalized groups, which influenced my perspective on relapse. One of the biases I had involved treatment access. I thought that marginalized groups do not consider treatment a priority because of the barriers they experience, like a lack of adequate financial resources. Therefore, the bias influenced my perspective that many low-income people did not get or complete their treatment plan. As a result, this caused relapse associated with stopping treatment.

In the past, I had a negative perspective concerning alcohol addicts. For instance, I used to think that most alcohol addicts were low-income people. My perspective of people from low socioeconomic status influenced how I viewed relapse. I thought relapse was all about drug and substance use because most people I encountered with this problem were poor. Other people are biased against some races. The bias can influence their perspective that some ethnic groups have relapse-prone patients and who cannot motivate others to improve their conditions. Education is essential when addressing the bias against marginalized groups (Dela Cruz et al., 2023). When people get education on relapse and other substance use, they understand how it occurs, reducing its connection to certain racial groups.

Conclusion

Individuals have misconceptions concerning relapse, which cannot be proven accurate. Some people believe that relapse occurs when an individual abstains from alcohol and drugs for some time and then begins to use the substances. While relapse might occur when people return to their previous state of alcohol or substance use, it is not accurate that all the instances of returning to substance use qualify for relapse. Some cases can be unintentional or caused by a lack of understanding of the triggers, which differs from relapse. The bias against marginalized groups can influence people’s beliefs about relapse because it affects how individuals view substance use cases among patients. Sometimes, people practicing bias against race can associate relapse with some cultures or ethnic groups.

References

Dela Cruz, G. A., Johnstone, S., Kim, H. S., & Castle, D. J. (2023). Review of third-wave therapies for substance use disorders in people of color and collectivist cultures: Current evidence and future directions. Psychology of Addictive Behaviors37(5), 681. https://doi.org/10.1037/adb0000883

Ma, B., Mei, D., Wang, F., Liu, Y., & Zhou, W. (2019). Cognitive enhancers as a treatment for heroin relapse and addiction. Pharmacological research141, 378-383. https://doi.org/10.1016/j.phrs.2019.01.025

Seyedfatemi, N., & Saber, S. (2022). Social Factors Affecting Relapse of Severe Mental Illness: A Qualitative Analysis of Healthcare Team’s Perceptions. Journal of Contemporary Medical Sciences8(6). https://www.iasj.net/iasj/download/00d1eec9cb1b9a2f

 
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Sample Selection and Application

Sample Selection and Application

order the answer to this paper 
You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®.

Sentinel City® is a city just like your neighborhood. People live there from culturally diverse backgrounds. They vary in age, gender, and income level. Nurse researchers are unable to study the entire world so they choose “groups” or populations to study that actually mirror the population of interest. Your role is to experience the city and identify the “neighborhood” or sample that would provide the best place to study: Sample Selection and Application

Geriatrics
South East Asians
Poverty
Pediatrics
Once you have identified the neighborhoods, complete an analysis of any evidence-based practice intervention that applies to one population of your choice and describe how you would implement this in the Sentinel City® neighborhood. Remember, use resources that are interprofessional, evidence-based and focus on improving health outcomes.

Helpful tips: Sample Selection and Application

Don’t forget to view the Sentinel City navigation tips. After choosing an avatar you may be able to teleport to the various areas by utilizing the interactive map.

How do I find out about the people who live in each neighborhood? How do I find out who lives here? How do I find the city population?
As you ride through the city you will be able to access the population statistics for each neighborhood. It will open on the left. You may pause the bus to view. You may also teleport to an area and choose the information icon.
Where can I find information on seniors?
You may pause the bus and select the rotating icon for specifics about seniors in the city
What information is available about healthcare use in Sentinel City®?

The Sentinel City® Healthcare System data is accessible by selecting the rotating icon. This selection will take you to a menu that has information on dentistry, vision, emergency, ambulatory care, integrated services, inpatient, pharmacy, and elderly.
How do I know whom to sample for a research study?
The researcher will often choose a population that contains the most number of subjects who have the study topic. For instance, to study children choose the area with the most children
Where does a nurse find evidence-based practice recommendations?
Visit the American Nurses Association
Question: What type of health promoting activity is interprofessional?
Think broadly consider nutrition (diet), Activity (exercise), Dental health, etc.

Sample Selection and Application
Review these core competencies:

Evidence-Based Practice – Core Competencies: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.
Sample Selection: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.
Interprofessional EBP Guidelines: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

Interprofessional EBP Guidelines: Collaborate in the collection, documentation, and dissemination of evidence.
Explore Research Literature for EBP Guidelines: Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed.
Application of the PICO Model to Nursing Care: Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes.

Suggested Reading: Sample Selection and Application

Read:

LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice.(9th ed) St. Louis, MO: Elsevier.

Chapter 2
Chapter 3
Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., & Yuanyuan Liangrbara, J. T. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology, 16 doi:http://dx.doi.org.americansentinel.idm.oclc.org/10.1186/s12874-016-0242-z

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Sample Selection and Application

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