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My part is Beneficence

1. Select one of the four primary principles (Autonomy, Beneficence, Nonmaleficence, Justice) from the Principles-Based Model from the readings to apply to the case. (Important: Coordinate with your group to ensure that each member selects a different principle).
2. Apply the specific principle you have selected to the case and in one to two paragraphs explain how applying your selected principle would help resolve this dilemma. In making your argument, be sure to:
   • Identify the various facets of the dilemma.
   • Identify all stakeholders.
   • Address each component of the principle.
   • Propose a step-by-step plan for resolution of the dilemma (with rationales and alternatives, where appropriate).
   • Identify potential outcomes of the proposed resolution.

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I NEED A RESPONSE

ZERO  PLAGIARISM

3 REFERENCES

Cognitive Behavioral Therapy has been the most often form of therapy delivered in my practicum. Its fundamentals include manipulating unhealthy ways of thinking for a more positive approach; understanding others’ behaviors and their motivations; using learned coping patterns to help relieve symptoms and to become more operative in life (Apa.org, 2020). CBT offers that behavioral patterns are learned and therefore can be unlearned through treatment (Apa.org, 2020). Treatment is based on the premise that one can become a therapist to themselves through the guidance of their counselor (Apa.org, 2020). CBT has been within keeping of my personal philosophy that life is about choices and their consequences, either positive or negative. One must be able to take responsibility for their actions and inactions to become more self-aware. I believe this concept is now, more than ever, a necessary perception. Victim-stancing  or being a victim in situations transfers power to other entities that do not serve the individual’s common good.  Taking control of oneself and identifying ways to do so is empowering and allows for self-actualization.

Existential-Humanistic Therapy

Existential-Humanistic therapy focuses on the individual’s increasing self-esteem to help make contributions to society (Human-studies.com, 2020). These contributions are linked to the help of others and are focused on the interconnectedness of people and societies (Human-studies.com, 2020). Their self-awareness allows for them to see others who are more unfortunate and allows for an appreciation and giving in which the individual feels good about contributing to their society (Human-studies.com, 2020).

            The differences between CBT and Existential-Humanistic therapy is the patient focus.  CBT has a more immediate focus on the person receiving therapy, and their choices, whereas Existential-Humanistic Therapy would like to take the focus and expand it to the individual and their contributions not only to themselves but to society as well (Human-studies.com, 2020). Their contributions to society have a ripple effect, helping others to feel well about themselves and being able to expand their positive energy and experiences past themselves (Human-studies.com, 2020).

            The strengths of CBT are that the patient can become empowered through the process of therapy, having realized they are in control of their thoughts, feelings, and emotions; therefore they are in charge of their choices.  The downside to CBT is sometimes the patients are very deep-seated into victim-stancing and may take longer to help channel them to a more self-actualized individual.  The strengths of existential-humanistic therapy are when one becomes a better self, they also influence their society.  The difficulty of this type of therapy is that it is difficult to help others when you are not in a healthy place. 

Fictional Clients

            A.B., a 39-year-old male diagnosed with Post-traumatic stress disorder and General anxiety disorder would benefit from CBT.  He has recurring nightmares and flashbacks.  He suffers from a generally low mood and struggles with alcoholism.  He no longer participates in activities that he once appreciated.  He has had a recent DUI for which his license has been revoked.  The patient is now estranged from his wife of 7 years and their two children, aged 6 and 4. 

            This patient would be a prime candidate for CBT.  His negative thinking, actions, and choices have brought him negative results for which he is responsible.  Changing how he makes decisions and his thinking patterns are necessary for this patient to begin practicing good decision making and yield generally positive results.  The change in perception and the focus on self and his ability to control the situations he puts himself in is the goal for this patient.

            A fictional client that would benefit from existential-humanistic therapy would be a 22-year-old college student.  She is transsexual and emotionally imbalanced suffering from manic episodes and deep depression.  She is on the brink of failing most of her classes, oversleeps, overeats, and does not participate in any activities on campus.  When she does participate in class, her contributions are minimal at best and her parents are fed up with her wild and outlandish behavior. 

            This patient would benefit from existential-humanistic therapy.  To guide this patient to see how her actions and inactions affect others such as her classmates and parents would be beneficial to her. Helping her to resolve her inner conflicts would be of great importance for this patient to self-actualize and for change. Counseling this patient to be self-aware and to motivate this patient to have better self-esteem, better grades, and better contributions would be of benefit to this patient and would allow her to see the correlation between her choices and the consequences.  

Reference

Apa.org. 2020. [online] Available at: [Accessed 21 October 2020].

Center for Substance Abuse Treatment. Brief Interventions and Brief Therapies for Substance      Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration      (US); 1999. (Treatment Improvement Protocol (TIP) Series, No. 34.) Chapter 6 –Brief                    Humanistic and Existential Therapies. Available from:     https://www.ncbi.nlm.nih.gov/books/NBK64939/

Human-studies.com. 2020. Existential-Humanistic Psychology, Mindfulness And Global Change.             [online] Available at: [Accessed 21 October 2020].

Write a 175- to 265-word response to the following questions (minimum length is 4-5 substantive sentences – a standard paragraph). Include a minimum of one peer-reviewed reference to support your post (must be cited per APA guidelines):

• What is an example of an effective work group in health care? Why is this important? Provide details.

 Discuss the practice patterns for controlling type 2 diabetes, the expected health outcomes, and the outcomes for different populations. 

Communication has been permanently changed by social media. This week, we will discuss social media and the impact on nursing and health and its use in healthcare. As we focus on this topic, please address the questions below in the discussion.

• What does the professional literature say about the use of social media in nursing practice?
• How can the use of social media impact patient care positively and negatively?
• What are the ethical and legal implications of nurses using social media in the workplace?
• Discuss ways social media programs can advance nurses’ personal and professional goals.
• How do you implement the use of social media in your nursing practice? If you do not, consider ways nurses can use social media to support their nursing practice.

Support your discussion with information from one or more of the ANA textbooks.

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. 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: 172/98, HR 88, RR 26
3. 3+ 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

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

 Select a topic for your Topic 3 Executive Summary assignment. Post your idea and basic thoughts about the topic using the assignment details from Topic 3. You should provide thoughts to your peers about their topics and ideas that may assist them in completing their projects. 

Answer the following questions related to Vegetarianism.

• In the United States, 32% of adults eat a vegetarian diet (Vegetarianism in America, n.d.). What does the term “vegetarian” mean?
• Do you think vegetarian diets are practical? That is, can someone easily be a vegetarian while living the typical American life of being rushed and busy?
• Vegetarian diets are associated with a lower risk of obesity and diabetes as well as other chronic conditions (Marsh, Zeuschner, & Saunders, 2012). Clearly a vegetarian diet can be a healthy one, but can a vegetarian diet lack nutrients? If so, which nutrients may be lacking? How could these nutrients be measured in the body to determine if someone is deficient in them? Are there vegetarian foods that provide these nutrients or would supplementation be necessary? Are there any interactions to be aware of with the supplements that a vegetarian may take?
• Do you think that a vegetarian diet would be costlier than a nonvegetarian diet?
• Look at the meals you ate in your 3-days diet record. Do any of your meals contain no meat? Choose one of your meals that contain meat and modify it to be vegetarian. Would you eat the modified meal?

References:

Marsh, K., Zeuschner, C., & Saunders, A. (2012). Health implications of a
           vegetarian diet: A review. American Journal of Lifestyle Medicine, 6(3),
           250–267.

Vegetarianism in America. (n.d.). Vegetarian Times. Retrieved from
           http://www.vegetariantimes.com/article/vegetarianism-in-america/

please follow the instructions

  Zero plagiarism

4 references

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your approach with evidence-based literature.