Write an essay which analyses a case study in order to discuss appropriate biopsychosocial factors and nursing management or interventions relevant to that case.

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Write an essay which analyses a case study in order to discuss appropriate biopsychosocial factors and nursing management or interventions relevant to that case.
Description:

You are to write an essay which analyses a case study in order to discuss appropriate biopsychosocial factors and nursing management or interventions relevant to that case. Recent and relevant literature must be used to support your discussion.

Instructions:

1) Select a case study provided.
2) Use recent literature to support your discussion:
2.1) Discuss biopsychosocial factors that contribute to the development of the selected disorder.
2.2) Discuss a nursing management or interventions appropriate for your selected case study.

 

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What is the culturally relevant history a therapist needs to understand when working with a client such as Donna? Publications

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What is the culturally relevant history a therapist needs to understand when working with a client such as Donna?
Publications

Each case response must be 1 page in length, with an APA Cover and Reference page.

Case Study of Donna Little – Chapter 5

Donna Little is a 39-year-old Indian woman who has a history of substance misuse and has struggled with reunification with her adolescent children over the last 6 years. She was in residential school from the age of 6 to 16 years old. She has a history of domestic violence in her previous relationships. Donna was the youngest of four children in her family. Her parents, siblings, and herself were raised in the same small northern reservation. Both her parents had gone to residential school in the early 1950s, as did her grandfathers and grandmothers on both sides of her family system in the late 1910s. Donna was raised in an environment of violence and mayhem in her early childhood, which she has talked about quite extensively in counseling. Although her parents abused alcohol, she emphasizes repeatedly that her family was quite ceremonial and participated in the big drum feast and singing within the community. When Donna was 6, an Indian agent wearing a red, white, and black checkered jacket gave her candy and took her to the residential school. She never had the opportunity to say good-bye to her mom and dad, who died of tuberculosis while she was in the residential school. Donna reflects on her residential school experience with a despondent look. While in the residential school, she had only one friend she could count on. Her siblings, who were also at the school, were older and thus not allowed to play with her or sleep near her at the residence dorms. This created an incredible loneliness that Donna did not know how to fill, and often she would use alcohol to help numb that pain. She did not like to drink, but it helped her to stop her thinking badly about the past. Donna was a victim of sexual abuse in the residential school, primarily by the Roman Catholic priest who was in charge. The first time she was assaulted she was 7; the last assault occurred right before she ran away at age 16. When Donna had attempted to tell the head nun in charge of her dorm what was happening to her, she was beaten severely, to the point of unconsciousness. Donna recalls it was her friend, Sue, who nursed her back to health. Donna describes her life as difficult. She went home to her community, only to find a partner who turned out to be as violent toward her as her father was to her mother. She loves her children and cares for them deeply. She breast-fed her three children and still today can feel that connection to them. When her children were taken from her home after the last time her husband beat her, she spiraled out of control. Donna has had long periods of abstinence, has a home in her community that is well cared for, and now has a partner who loves her deeply. Donna is on welfare but hunts and fishes to help with sustenance. Donna and her partner have been together for 10 years, however, they both misuse alcohol on occasion. Donna’s present partner is nonviolent and a former residential school survivor as well.

 

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WHAT TYPE OF AN ETHICAL DILEMMA HAVE YOU ENCOUNTERED IN THE CLINICAL SETTING?Discussions week 3 DQ 1 Uustal (1993) proposed a decision-making model that provides concrete steps in which to arrive at a morally acceptable solution when faced with an ethical dilemma.

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WHAT TYPE OF AN ETHICAL DILEMMA HAVE YOU ENCOUNTERED IN THE CLINICAL SETTING?Discussions week 3 DQ 1 Uustal (1993) proposed a decision-making model that provides concrete steps in which to arrive at a morally acceptable solution when faced with an ethical dilemma.

Discussions week 3 DQ 1 Uustal (1993) proposed a decision-making model that provides concrete steps in which to arrive at a morally acceptable solution when faced with an ethical dilemma. What type of an ethical dilemma have you encountered in the clinical setting? How can the decision-making model identified by Uustal be applied to this situation? Be specific when describing each of the nine steps.

Discussions week 3 DQ 2 How do a nurse’s fundamental duties, as described by the Hippocratic Oath and Nightingale Pledge, influence a nurse’s practice and decision making?

 

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Review emerging standards of culturally competent care. Here are possible resources to use: DHHS Office of Minority Health National Center for Cultural Competence AHRQ

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Review emerging standards of culturally competent care. Here are possible resources to use:

DHHS Office of Minority Health

National Center for Cultural Competence

AHRQ

Annie E. Casey Foundation

Write a 2,800- to 3,500-word paper that explores the following topics in your workplace or a setting that you select for this discussion:

Define culturally competent care appropriate for your own workplace, based on your perusal of the assigned readings.

Identify the populations served and any issues of population vulnerability.

Comment on standards of cultural competence that appear to be met and any that are not met.

Identify how delivery of nursing care could be affected where standards are being met and where they are not being met.

 

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