Discussion: Crisis Intervention Models

I have a discussion post due but it has to be APA format with headers to organize the information and it has to have citations from specific sources. Please see attachment for details

*Course Text: James, R. K. & Gilliland, B.E. (2017). Crisis intervention strategies (8th ed.). Boston, MA: Cengage Learning.

*Article: Castellano, C., & Plionis, E. (2006). Comparative analysis of three crisis intervention models applied to law enforcement first responders during 9/11 and Hurricane Katrina. Brief Treatment and Crisis Intervention, 6(4), 326–336.
Retrieved from the Walden Library databases.

In this article, the authors compare the psychological first aid (PFA), critical incident stress management (CISM), and crisis counseling program (CCP) models as used in crisis interventions following Hurricane Katrina and 9/11.

 
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When Parents Refuse to Give Up1

Nine-year-old Yusef Camp began experiencing symptoms soon after eating a pickle bought from a street vendor. He felt dizzy and fell down, he could not use his legs, and he began to scream. By 10:00 p.m., he was hallucinating and was transported to the DC General Hospital by ambulance. He went into convulsions. His stomach was pumped, and they found traces of marijuana and possibly PCP. He soon stopped breathing, and by the next morning, brain scans showed no activity. Four months later, Yusef’s condition had not changed. The physicians believed his brain was not functioning and wanted to pronounce him dead based on brain criteria. Several difficulties were encountered, however. First, there was some disagreement among the medical personnel over whether his brain function had ceased completely. Second, at that time the District of Columbia had no law authorizing death pronouncement based on brain criteria. It was not clear that physicians could use death as grounds for stopping treatment. Most important, Ronald Camp, the boy’s father, protested vigorously any suggestion that treatment be stopped. A devout Muslim, he said, “I could walk up and say unplug him; but for the rest of my life I would be thinking, was I too hasty? Could he have recovered if I had given it another 6 months or a year? I’m leaving it in Almighty God’s hand to let it take whatever flow it will.” The nurses involved in Yusef’s care faced several problems. Maggots were found growing in Yusef’s lungs and nasal passages. His right foot and ankle became gangrenous. He showed no response to noises or painful stimuli. The nurses had the responsibility not only for maintaining the respiratory tract and the gangrenous limb, but also for providing the intensive nursing care needed to maintain Yusef in debilitated condition on life support systems. Had the aggressive care been serving any purpose, they would have been willing to provide it no matter how repulsive the boy’s condition was and in spite of there being many other patients desperately needing their attention. However, some of the nurses caring for Yusef were convinced that they were doing no good whatsoever for the boy. They believed they were only consuming enormous amounts of time and hospital resources in what appeared to be a futile effort. In the process, other patients were not getting as much care as would certainly be of benefit to them. Could the nurses or the physicians argue that care should be stopped because he was dead? Could they overrule the parents’ judgment about the usefulness of the treatment even if he were not dead? Could they legitimately take into account the welfare of the other patients and the enormous costs involved when deciding whether to limit their attention to Yusef?

1Weiser, B. (1980, September 5). Boy, 9, may not be “brain dead,” new medical examiner shows. Washington Post, p. B1. Weiser, B. (1980, September 12). Second doctor finds life in “brain dead” DC boy. Washington Post, p. B10. Sager, M. (1980, September 17). Nine-year-old dies after four months in coma. Washington Post, p. B6.

Your paper should be in APA 6th edition format and should answer all three questions completely with rationale and literature support. Each new heading will depict the question being answered. Your paper should be within 4-6 pages, not including your cover page and references page.

 
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W8 "Final Project" Human Resource Strategies

Human Resource Strategies

Final Project – My Personal Walk with an Organization as an HR Practitioner. 

By this time you should have a strong understanding of how you can impact the workplace by making some improvements for overall success of your chosen the organization. Taking a closer look, evaluate how you impact your workplace or community from an HRM perspective. Consider your personal HR assets and liabilities. This is where you put it all into practice and make a difference.

Choose a topic from the course that you are passionate about in the area of HRM. You will write a paper and develop a PowerPoint presentation about this topic. Include elements, processes, and tools to make it comprehensive in nature. You must submit all your documents in a zip folder.

The following requirements must be met for the PowerPoint presentation:

  • Design and format each slide for a presentation.
  • The notes sections must total a minimum of 500 words for the entire presentation.  Use these sections to explain and support information provide on your slides.
  • Include a cover slide and reference slide (these slides do not count toward the 20 – 25 slide requirement).
  • At least 80% of your paper must be original content/writing.
  • No more than 20% of your content/information may come from references.
  • Identify sources on slides that contain reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) and list them on a reference slide.

The following requirements must be met for the paper:

  • Write between 1,000 – 1,500 words using Microsoft Word in APA 6th edition style.
  • Use an appropriate number of references to support your position, and defend your arguments. The following are examples of primary and secondary sources that may be used, and non-credible and opinion based sources that may not be used.
    1. Primary sources such as government websites (United States Department of Labor – Bureau of Labor Statistics, United States Census Bureau, The World Bank), peer reviewed and scholarly journals in EBSCOhost (Grantham University Online Library) and Google Scholar.
    2. Secondary and credible sources such as CNN Money, The Wall Street Journal, trade journals, and publications in EBSCOhost (Grantham University Online Library).
    3. Non-credible and opinion based sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. should not be used.
  • Cite all reference material (data, dates, graphs, quotes, paraphrased statements, information, etc.) in the paper and list each source on a reference page using APA style. An overview of APA 6th edition in-text citations, formatting, reference list, and style is provided here.
 
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Week 6 project

Individual Paper– Each student will choose three cases, each from a different chapter, from the readings in weeks 3 and 4 (Chapters 7, 8, 9, 10, 11, and 12). No students on a team will choose the same cases and there should be no duplicate cases.  A Reference page should be provided. (100 points)

  • Your responses should be well-rounded and analytical, and should not just provide a conclusion or an opinion without explaining the reason for the choice. For full credit, you need to use the material from the week’s lectures, text and/or discussions when responding to the questions.
  • Utilize the case format below:
  1. Read and understand the case. Show your Analysis and Reasoning and make it clear you understand the material. Be sure to incorporate the concepts of the chapter we are studying to show your reasoning. Dedicate at least one sub-heading to each following outline topic:
    • Facts [Summarize only those facts critical to the outcome of the case]
    • Issue [Note the central question or questions on which the case turns]
    • Explain the applicable law(s). Use the textbook here. The law should come from the same chapter as the case. Be sure to use citations from the textbook including page numbers.
    • Holding  [How did the court resolve the issue(s)? Who won?]
    • Reasoning [Explain the logic that supported the court’s decision]
  2. Dedicate 1 sub-heading to each of the case questions immediately following the case. First, restate the question and then fully answer.
  3. Conclusion. This should summarize the key aspects of the decision and also your recommendations on the court’s ruling
  4. Include citations and a reference page with your sources. Use APA style citations and references.
 
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PS 125 Discussion – 200 Or More Words, APA format

Let’s take a look at some recent cases of teen drug abuse:

Directions

After viewing the above videos, apply concepts from your text and readings that may help to explain the teens’ attitudes and willingness to use and abuse drugs.

  • – What cognitive factors explain the teens’ attitudes about drugs?
  • – What socioemotional factors explain the teens’ attitudes about drugs?
  • – Explain how these factors may play a role in teen addiction.
  • – If a parent of a teen came to you for advice about drug education, what would you tell them?
 
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Integrating Multimedia in ELA Instruction

For each multimedia tool, include:

  • Title and description
  • How the tool will foster students’ learning and active engagement with the subject matter.
  • How the tool creates a literate environment to engage students in high quality texts.
  • How the tool can be adapted to meet the diverse needs of students in order to create a supportive learning environment.
  • The role of family in supporting the learning activity and the use of this tool.

Support your brochure with a minimum of three scholarly resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 
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Assessing Musculoskeletal Pain

I need a response to this assignment

1 page

zero plagiarism

three references

Patient Information: CC : A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She can bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottowa ankle rules to determine if you need additional testing?

Initials, N/A Age, 46 Sex, Female Race, not indicated

CC: Bilateral Ankle pain

HPI: Pt c/o bilateral ankle pain, worse on R s/p hearing a “pop” while playing soccer this past weekend. Pt is able to bear weight, with some discomfort and was more concern about her R ankle.

Location: Bilateral ankle

Onset: Over the weekend

Character: Bilateral ankle pain, worse on the right. She was playing soccer over the weekend and heard a “pop.”

Associated signs and symptoms: She can bear weight, but it is uncomfortable

Timing: over the weekend and heard a “pop. “while playing soccer

Exacerbating/ relieving factors: She can bear weight, but it is uncomfortable

Severity: She can bear weight, but it is uncomfortable

Current Medications: Not indicated

Allergies: None indicated

PMHx: None indicated

Soc Hx: played Soccer over the weekend

Fam Hx: None Indicated.

GENERAL:  No weight loss, fever, chills, weakness or fatigue indicated

HEENT:  Eyes: PERRLA, no visual impairment blurred vision, double vision or yellow sclerae indicated. Ears, Nose, Throat:  No hearing loss, sneezing, congestion, runny nose or sore throat indicated

SKIN:  No rash or itching nor discoloration indicated

CARDIOVASCULAR:  No chest pain, chest pressure or SOB. No palpitations or edema indicated

RESPIRATORY:  No shortness of breath, cough or difficulty breathing indicated

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood indicated

GENITOURINARY:  No Burning on urination. No indication of Pregnancy. Last menstrual period not indicated.

NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control indicated

MUSCULOSKELETAL:  bilateral ankle pain, worse on R. Positive pulses on both dorsalis and pedis bilaterally. Right ankle with 1+edema, erythema; and tenderness on palpation noted. No edema or erythema noted on the left ankle.

HEMATOLOGIC:  No anemia, bleeding or bruising indicated

LYMPHATICS:  No enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  None indicated

ENDOCRINOLOGIC:  No reported

ALLERGIES:  NkDA

Peripheral Vascular: Right ankle with 1+edema, erythema; and tenderness on palpation noted. No edema or erythema noted on the left ankle Positive pulses on both dorsalis and pedis bilaterally.

Assessment:

Additional questions

More needed questions may include

Point exactly where your pain is?

What’s your pain scale on 0-10, o no pain and 10 being the worst?

Have you taken anything for the pain?

What makes it better or worse?

Diagnostic results: This will include X-Ray, Ct scan and MRI According to Ball, Dains, Flynn, Solomon, and Stewart (2015) an x-ray of the ankle should be done when pain is present in the malleolar area with one of the following locations: Bony tenderness to the distal 6cm of the posterior edge or tip of the lateral malleolus, bony tenderness on the distal 6cm of the posterior edge or tip of the medial malleolus, or the inability for the patient to be weight bearing.  According to Ball, Dains, Baumann, & Scheibel 2016, Ottawa Ankle Rules are used to identify the need for diagnostic testing in the patient with ankle pain.  This tool determines that if a patient has ankle pain the malleolar area of the ankle in addition to bone tenderness near the posterior fibula, bone tenderness near the posterior tibia, or the inability to bear weight for four steps, he or she should be sent for an ankle radiography series. Also, Ottawa have 98.5%sensitivity level in identifying fracture.

Differential Diagnoses

1.  Ankle Sprain is an injury that occurs to one or more of the ligaments in the ankle that produces symptoms like pain, swelling, bruising, soreness, joint stiffness, and difficulty walking Sports injuries are very common when running, landing a jump, or any direct contact that can create pain, swelling, and even an audible tearing or popping, yet ecchymosis can be delayed by a few days (American Orthopedic Foot & Ankle Society, 2015).

  1. Achilles tendon injury: Occurs from a sudden snap in the lower calf with the inability to stand on the toes of the affected side (Saglimbeni, 2016).
  2. Post-exercise muscle soreness: Appears as a discomfort or pain to the distal portion of skeletal muscles after physical activity that one is not used to, as well as decreased strength and flexibility (Kedlaya, 2016).
  3. Achilles tendon injury presents through a sudden snap in the lower calf with the inability to stand on the toes of the affected side (Saglimbeni, 2016).

5.  Ankle Fracture: Stress fractures in the foot are most often seen in the calcaneus, navicular, and metatarsal bones, and less often in the cuboid bone.  An ankle fracture usually manifest with swelling, bruising, and an inability to bear weight (Unnithan & Thomas, 2018).

References

American Orthopedic Foot & Ankle Society. (2015, June). Ankle Sprain. Retrieved from http://www.aofas.org/PRC/conditions/Pages/Conditions/Ankle-Sprain.aspx

American College of Foot and Ankle Surgeons. (2018). Ankle Sprain. Retrieved from https://www.foothealthfacts.org/conditions/ankle-sprain

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s

guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Kedlaya, D. (2016). Post-Exercise Muscle Soreness. Retrieved from http://emedicine.medscape.com/article/313267-overview#a4

Kelly, J. (2015). Ankle Fracture in Sports Medicine. Retrieved from http://emedicine.medscape.com/article/85224-clinical#b4

Luke, A. (2011). Ankle Physical Examination. Orthopedic Trauma Institute. Retrieved from http://orthosurg.ucsf.edu/oti/patient-care/divisions/sports-medicine/physical-examination-info/ankle-physical-examination/

 
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HIMA 240: Principles of Health Care Reimbursement Methodologies

Prepare a revenue cycle plan for a community hospital.  Include the following information in your plan:

  • Introduction
  • Evaluation of clinical data required for payment and reimbursement systems (PPS, DRG, RBRVS, RUGs, VBP, Billing/insurance plans).
  • Explanation of chargemaster and claims management applications and processes.
  • Assess effect on healthcare finance of revenue management (cost reporting, budget variances).
  • Summarize revenue cycle management and reporting processes (CCI, X12N).
  • Evaluation of severity of illness and how it impacts the healthcare payment systems.

The format of this plan is like a policy and procedure but is a longer document. Compile your document based on the findings and collection of information for each of the requirements.

 
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Three Questions

Need References attached for all

1)

In this week’s discussion, you were introduced to Wireshark and GlassWire, two free network monitor & security tools. Compare and contrast these two tools. explaining the benefits and features of each, then decide which of these two choices you would prefer to use if you were the Network Manager. Explain why you made your decision.

https://www.glasswire.com/

https://www.wireshark.org/

2)

Wireshark is one of the most widely-used network protocol analyzer. It lets you see what’s happening on your network at a microscopic level and is the preferred standard across many commercial and non-profit enterprises, government agencies, and educational institutions. GlassWire is a free network monitor & security tool with a built-in firewall. Review the features of these two products and explain how you could benefit from using either of these network management tools.

https://www.glasswire.com/

https://www.wireshark.org/

3) Pick one of the many information security standards organizations and describe what they do and what type of standards they are responsible for.

An initial post must be between 250-300 words

 
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Pathophysiology DQ 14

 Please be careful with plagiarism. Less than 20 % similarity

Class Book:  TitlePorth’s Pathophysiology : Concepts of Altered Health States 9th

 

Chapter 55

Isabella, a student nurse, has just started to work in a sexual health clinic part-time where there are a large number of clients who have genital herpes. The clients, both male and female range in age from 16 to 39 years, have varying levels of education and backgrounds.

a.            What features of sexually transmitted diseases would it be important for Isabella to review?

b.            Isabella states, “Why don’t these clients just stop having sex and then their conditions wouldn’t be as bad”? If you were another nurse in the clinic, how would you respond to Isabella’s comment?

 
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