Monday, December 23, 2019

Child abuse and maltreatment is not limited to a...

Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. Include in-text citations and references for each of the scholarly sources used. Respond to other learners posts in a manner that†¦show more content†¦Moreover, infants are preverbal, which makes assessment and intervention especially challenging. Nonetheless, healthcare professionals must look out for warning signs. Some red flags may be raised as early as the babyâ⠂¬â„¢s birth. For example, poor mother-infant bonding from birth has been identified as a high risk for possible abuse later on and â€Å"may be caused by the delivery of a preterm infant, multiple infants, or one with a disability who has a prolonged stay in the hospital† (Lyden, 2011, p. 2). In the cases of inflicted brain trauma, abuse can sometimes be difficult to diagnose because the baby may not have any external marks, other than bruises on chest and extremities from where the infant was held (Lyden, 2011). Researchers say that retinal hemorrhages in infant’s eyes should be considered as signs of abuse until proven otherwise, although they acknowledge that retinal bleeding in infants can be caused by other conditions, those conditions can be ruled out through history, physical exam, and labs (Lyden, 2011). Child abuse crosses all ethnic racial, cultural, and socioeconomic lines. According to Ramen Hodes (2012), in today’s multicultural society, healthcare professionals are often faced with the challenge of â€Å"exploring and resolving the tension between definitions of harm in child protection practice and various cultural and child-rearing practices† (p. 30). For example, manyShow MoreRelatedChild Abuse and Maltreatment Is Not Limited to a Particular Age and Can Occur in the Infant, Toddler, Preschool, and School-Age Years. Choose One of the Four Age Groups (Infant, Toddler, Preschool, or School Age) and937 Words   |  4 PagesChild abuse is more than bruises and broken bones. While physical abuse might be the most visible, other types of abuse, such as emotional abuse and neglect, also leave deep, lasting scars. (Help guide.org). The earlier abused children get help, the greater chance they have to heal and break the cycle—rather than perpetuating it. There is a myth that only bad people abuse their children. (Help guide.org) But the fact is while it s easy to say that only bad people abuse their children, it s notRead MoreDevelopmental Psychology Notes7715 Words   |  31 PagesDevelopment Sex – sexual anatomy and sexual behaviour Gender – perception of maleness or femaleness related to membership in a given society Week 8 Growing brain The brain grows at a faster rate than any other part of the body. By age 5, child’s brain weighs 90% of average adult brain weight, whereas total body weight is merely 30%. One reason is due to increase in the number of interconnections among cells. These interconnects allow for more complex communication between neurons, permitRead MoreDevelopmental Psychology14082 Words   |  57 PagesHAVE A CERTAIN POINT OF VIEW ON THE BASIC ISSUES UNDERLYING CHILD DEVELOPMENT. DETERMINE, DISCUSS AND EVALUATE THE POINT OF VIEW OF VYGOTSKY’S SOCIOCULTURAL THEORY AND THE INFORMATION PROCESSING APPROACH WITH REGARD TO THE ISSUES UNDERLYING CHILD DEVELOPMENT * THE COURSE OF DEVELOPMENT (CONTINUOUS OR DISCONTINUOUS) * THE COURSE OF DEVELOPMENT: ONE OR MANY * FACTORS THAT DETERMINE DEVELOPMENT (NATURE/NURTURE) Introduction Child development has many theories with different ideas about whatRead MoreDevelopmental Psychology14091 Words   |  57 PagesHAVE A CERTAIN POINT OF VIEW ON THE BASIC ISSUES UNDERLYING CHILD DEVELOPMENT. DETERMINE, DISCUSS AND EVALUATE THE POINT OF VIEW OF VYGOTSKY’S SOCIOCULTURAL THEORY AND THE INFORMATION PROCESSING APPROACH WITH REGARD TO THE ISSUES UNDERLYING CHILD DEVELOPMENT * THE COURSE OF DEVELOPMENT (CONTINUOUS OR DISCONTINUOUS) * THE COURSE OF DEVELOPMENT: ONE OR MANY * FACTORS THAT DETERMINE DEVELOPMENT (NATURE/NURTURE) Introduction Child development has many theories with different ideas aboutRead MoreMedicare Policy Analysis447966 Words   |  1792 Pages 3 Subtitle A—Increased funding to fight waste, fraud, and abuse Subtitle B—Enhanced penalties for fraud and abuse Subtitle C—Enhanced Program and Provider Protections Subtitle D—Access to Information Needed to Prevent Fraud, Waste, and Abuse TITLE VII—MEDICAID AND CHIP Subtitle A—Medicaid and Health Reform Subtitle B—Prevention Subtitle C—Access Subtitle D—Coverage Subtitle E—Financing Subtitle F—Waste, Fraud, and Abuse Subtitle G—Puerto Rico and the Territories Subtitle H—Miscellaneous Child Abuse and Maltreatment Is Not Limited to a... Child abuse is more than bruises and broken bones. While physical abuse might be the most visible, other types of abuse, such as emotional abuse and neglect, also leave deep, lasting scars. (Help guide.org). The earlier abused children get help, the greater chance they have to heal and break the cycle—rather than perpetuating it. There is a myth that only bad people abuse their children. (Help guide.org) But the fact is while it s easy to say that only bad people abuse their children, it s not always so black and white. Not all abusers are intentionally harming their children. Many have been victims of abuse themselves, and don’t know any other way to parent. Others may be struggling with mental health issues or a substance abuse†¦show more content†¦Among Vietnamese families is to tie a misbehaving child s ear to a doorknob as punishment.in some other culture a child could be beaten/whip and physical injury inflicted as a means of discipline. To them their ac tion is normal based on their cultural believe. (Mclntyre et al 1992) The American middle-class culture is one of the few that uses positive reinforcement procedures while limiting punishment when deemed necessary, a mild, spanking may be administered, although a more frequent practice is to isolate the misbehaving child, withdrawing love and affection for a period of time (Mclntyre et al 1992). These majority culture parents perceive their methods as being more humane than those that incorporate physical punishment. However, other cultural/ethnic groups often view the dominant culture style as being crueler. (Mclntyre et al 1992). While some culturally diverse guardians may use quickly administered physical punishment, they would never hint at an emotional separation from their progeny that might create feelings of rejection in the child. (Mclntyre et al 1992) Texas law says that any person having cause to believe that anyone who thinks a child or person 65 years or older, or an adult with disabilities is being abused, neglected, or exploited must report it to department of family protective services Toll-Free: (800) 252-5400 andShow MoreRelatedChild abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years1343 Words   |  6 Pagesï » ¿Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. DescribeRead MoreDevelopmental Psychology Notes77 15 Words   |  31 Pagessexual behaviour Gender – perception of maleness or femaleness related to membership in a given society Week 8 Growing brain The brain grows at a faster rate than any other part of the body. By age 5, child’s brain weighs 90% of average adult brain weight, whereas total body weight is merely 30%. One reason is due to increase in the number of interconnections among cells. These interconnects allow for more complex communication between neurons, permit rapid growth of cognitive skills. AmountRead MoreDevelopmental Psychology14082 Words   |  57 PagesHAVE A CERTAIN POINT OF VIEW ON THE BASIC ISSUES UNDERLYING CHILD DEVELOPMENT. DETERMINE, DISCUSS AND EVALUATE THE POINT OF VIEW OF VYGOTSKY’S SOCIOCULTURAL THEORY AND THE INFORMATION PROCESSING APPROACH WITH REGARD TO THE ISSUES UNDERLYING CHILD DEVELOPMENT * THE COURSE OF DEVELOPMENT (CONTINUOUS OR DISCONTINUOUS) * THE COURSE OF DEVELOPMENT: ONE OR MANY * FACTORS THAT DETERMINE DEVELOPMENT (NATURE/NURTURE) Introduction Child development has many theories with different ideas about whatRead MoreDevelopmental Psychology14091 Words   |  57 PagesHAVE A CERTAIN POINT OF VIEW ON THE BASIC ISSUES UNDERLYING CHILD DEVELOPMENT. DETERMINE, DISCUSS AND EVALUATE THE POINT OF VIEW OF VYGOTSKY’S SOCIOCULTURAL THEORY AND THE INFORMATION PROCESSING APPROACH WITH REGARD TO THE ISSUES UNDERLYING CHILD DEVELOPMENT * THE COURSE OF DEVELOPMENT (CONTINUOUS OR DISCONTINUOUS) * THE COURSE OF DEVELOPMENT: ONE OR MANY * FACTORS THAT DETERMINE DEVELOPMENT (NATURE/NURTURE) Introduction Child development has many theories with different ideas about

Sunday, December 15, 2019

Hsm/230 Week 9 Checkpoint Free Essays

Capstone Checkpoint week 9 HSM/230 Capstone Checkpoint week 9 Many issues are becoming problems for seniors, one of these issues is the possibility of losing one of the most important assistance programs that human services has to offer, the Medicare and Medicaid assistance programs for health and well-being of the seniors in California. This issue has been relevant for many years; however in recent years the California Legislature has been unable to successfully plan a budget that would be considered sound. Thus, at this point the legislature is considering cutting some of the programs of human services or cutting back on the funding to these programs. We will write a custom essay sample on Hsm/230 Week 9 Checkpoint or any similar topic only for you Order Now According to Diane Rowland ScD. and Barbara Lyons, PhD. (1996). Without Medicaid’s assistance, the cost of basic medical care can impede access to care and erode financial security for low income elderly people. This is now a problem, for example my mother has a social security benefit of 650. 00 a month, and if she had to pay her medical care and prescription out of this income, her income would only be 300. 00 a month. This is more than twice the poverty level today. This is of great concern to human services agencies in the United States. Most of the elderly have paid into these programs for many years, expecting assistance as they retired; however, this is eroding away. In order to rectify this issue, California along with other states facing this issue, needs to come up with a balanced budget that does not exceed the income they are receiving at the time of the budget making process. The legislature cannot â€Å"expect† to make a different amount than what is in black and white. To predict that they would be making a larger amount only makes the budget worthless, a budget would need to be accurate and overspending must stop in order to rectify this situation. If I were in charge of this type of program, I would look into privatization of a portion and look for subordinates that would be willing to donate, or fund this program for the poor elderly of the United States. Also I would look into how many actually are citizens that are receiving this benefit without payment into the program. This is a huge issue, many illegal immigrants are receiving these benefits and have never paid into the program, therefore are actually ineligible for the benefit. I would propose that these recipients be placed on the welfare program for illegal immigrants and taken off of the assistance for the poor elderly clientele. Is this ethical, I think so, I do not think it is ethical for one to receive benefits if they have not met the criteria or prerequisite to receive this benefit. How to cite Hsm/230 Week 9 Checkpoint, Papers

Saturday, December 7, 2019

General Hospital free essay sample

Finally, a strategy for Hammer to resolve the problem will be recommended. Cost control and management/physician agreement are the main conflicts at General Hospital. In order for cost to be reduced General Hospitals CEO, Mike Hammer, will need to gain the support of the physicians on staff. So far Hammer has been unsuccessful in his past two attempts to control physician-driven cost: First when, he had tried to convince Director of Medicine Dr. Mark Williams to get the staff physicians to become cost sensitive in their decision making. Even when Hammer spotted a wasteful practice, physicians defended their actions as the practice of good medicine. (Hellriegel Slocum, pp. We will write a custom essay sample on General Hospital or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 546) Hammers second attempt was when he hired a consultant that made recommendations for a formal comprehensive cost containment program which was not supported by the hospital board of trustees because the director of medicine opposed it. (Hellriegel Slocum, pp. 546) Somehow, Hammer and the physicians at General Hospital will have to work together as one to reach their cost reduction goals so that they may expand and remain competitive in the industry. The conflict management styles that are evident in the case are the Forcing and Avoidance Styles. The forcing style refers to assertive and uncooperative behaviors and represents a win-lose approach to interpersonal conflict. Those who use this forcing approach try to achieve their own goals with out concern for others. (Hellriegel Slocum, pp. 392) In the meeting that Hammer has with Marge Harding (the new COO), he advises he to select something that the physicians can do at less cost and implement the change ith no questions asked including terminations of at will employees. This allows Harding free reign to do whatever she wants without consulting anyone if she doesnt feel it necessary. Because of this Harding uses bad Judgment when deciding to terminate attending Cardiologist Dr. James Boyle and replace him with computerized EKG interpretations. Dr. Boyle was respected by his peers, provided accurate and timely reports, never missed work, and always made arrangements for replace ments when on vacation, which shows he was committed to his career and patients. Harding implements a computerized system without any testing or advanced notice, has her assistant Oohn Will) introduce the system to the physicians and staff and then goes on vacation. The EKG system. The avoiding style refers to unassertive and uncooperative behaviors. A person uses this style to stay away from conflict, ignore disagreements, or remain neutral. (Hellriegel Slocum, pp. 394) During the first week there were several problems with the computerized operations such as: late reports, mis- filings, wrong patients EKG analysis, and misdiagnoses. These problems could incur further cost for the hospital and possibly lawsuits. The physicians are upset because Dr. Boyle has been terminate and he always provide accurate EKG reports and the new system is faulty, so the take their complains to the Director of medicine, Dr. Williams. Dr. Williams called a meeting with the medical staff and requested Harding to attend which she avoided. Instead Harding sent John Will with a message: General Hospital needs to stay abreast of ongoing technological developments in science and medicine, especially when costs are reduced. (Hellriegel Slocum, pp. 547) Harding is staying away from the conflict by refusing to attend the meeting and sending the message through her assistant John Will. Discuss how General Hospital could have used teams to address the cost reductions needed to stay competitive. Teams can be sed to negotiate salaries of all staff, infrastructure maintenance, new technology, medicinal and other financial needs. Staffing (can and some a few nurses) can be reduced in some areas since the numbers of beds being used have been greatly reduced. Forming relationships with other medical center or specialized physicians to come in on a contract/ on call basis would also be cost effective in slow periods. Teams are able to brain storm to come up with ideas together and then put them into action as they are agreed upon as a common goal. Describe how Hammer can use negotiation skills to get buy-in for the cost reductions. The negotiation skills are very important to reach the desired goals of cost reduction and conflict resolution at General Hospital. Instead of Hammer using the Distributive Negotiation Strategy (good cop bad cop) which is a win- lose situation he should use a Collaborative Strategy. The Collaborating style refers to high levels of cooperative and assertive behaviors. (Hellriegel Slocum, pp. 391) Hammer needs to gain the physicians trust and let them know that this is a win-win situation. Todo this he must have involve them from start to finish initiate meetings, ask for their thoughts for cost cutting echniques, let them know that this is vital to the survival of the hospital as a whole and that he need and values their input. These meetings will bring about suggestions from the physicians, nurses, directors, and non- medical management. Together they can work as a team and take the selected ideas and begin implementing on a trial basis to find out which plans are a good fit for the organization as a whole.