Saturday, January 25, 2020

Effect of Physical Abuse on Mental Health

Effect of Physical Abuse on Mental Health Article summary Research Question It has long been known that physical abuse can put individuals at risk of having mental illness. Many studies have proved that there is a connection between physical punishment and mental disorders. A few researches have worked on a cause of particular mental disorders; however, it still lacks of evidence and no one has focused on the long-term outcomes of physical abuse on the development of mental disorders yet. In the research conducted by Tracie et all., the researchers want to find the correlation between physical punishment and mental disorders in an extensive range. The research aims to eliminate the limitations of researches that have been previously conducted. In their research, they additionally cover a range of axis I (clinical syndromes) and axis II (personality and mental retardation) mental disorders, and possible factors that are responsible for physical punishment. Furthermore, they look into the general population that is possible to be another explanation why physic al abuse occur without individual having past experience of child maltreatment. Methodology In 2004 and 2005, the researchers conducted a survey called â€Å"The National Epidemiologic Survey on Alcohol and Related Conditions†. They randomly drew a sample from non-institutional and house hold individuals who were 20 or older in the United States. Participants were interviewed face-to-face by experienced interviewers of the US census Bureau, which gave the high response rate as high as 86.7%. In this interview, physical punishment is the independent variable and the increased likelihood of mental disorder is the dependent variable. Physical punishment is defined as grabbing, slapping, hitting, pushing by parents or adults. The researchers took and revised some questions from Adverse Childhood Experience Study which is based on a 5-point Likert scale. On the survey, participants who â€Å"sometimes†, or greater, experienced physical abuse as a child are considered to have had harsh physical punishment: any physical misconduct that is violent and unacceptable. Mo reover, there are three continuous variables: age, education, and income received within the previous year. Also, there are three sociodemographic variables: gender, marital status, and race. Findings and Implications As a result, the researchers found that physical punishment can contribute to the origin of mental illness to some extent. The findings show that harsh physical abuse is related to the higher possibility of getting mental disorders in the categories of Axis I and Axis II. Interestingly, the tendency to experience Axis I disorders is decreased by 2% to 5% and 4% to 7% to Axis II disorders if the individuals did not encounter harsh physical punishment. Unexpectedly, the researchers also discovered that individuals with high level of education and income are more likely to perform harsh physical punishment. This current study is corresponding to the former researches: there is a significant correlation between physical and Axis I. On top of that, this study further examines and notices that demographic variable also contribute to physical punishment. The findings reveal that males have a higher risk to be punished. In comparison with Caucasian, black people seem to have an elevated like lihood of facing harsh punishment. Nevertheless, age and marital status seem to the only factors that do not increase the probability of harsh punishment. These data have various significant implications that any health care profession practitioners should contemplate. To begin with, pediatricians or anyone whose work is related to children, parents, and family should be knowledgeable about the impacts of harsh physical punishment. This study promotes the use of other discipline methods, and does not support violence as the way of teaching children. If the use of punishment is diminished, the general population having mental illness will be decreased as well. Research Proposal Research Question The research published by Tracie et all is undoubtedly an exceptional work. It reports and brings the adverse outcomes of harsh physical punishment to light. Yet, there are still some limitations that should be studied further. First, the use of cross-sectional design prevents the researchers from finding another possible result. The cross-sectional design is limited, because it only provides us information that is gathered in a short period of time. Since people’s behaviours change regularly, this information can be unreliable. Given that longitudinal study is able to identify changes in behaviours and characteristics of individuals, it might be better to use a longitudinal design in a future research. Next, the question that should be discussed is whether the information that the researchers collected is accurate or not. In the previous study, researchers collected the data from the U.S. representative adults. In this process, the participants may have given wrong informatio n due to false recall. A confirmation call from parents would help researchers avoiding making misinterpretation of data. Last question that I would like to add on to the future research is to find the critical age for children raised with abusive parents growing up without developing mental illness, aggression, and learning disabilities. Methodology In a coming research, the data will be drawn randomly from young children aged from 8 to 15, who have reported of physical or verbal abuse. Participants will have an interview with a trained researcher. While answering questions, the study will also be recorded by a camera to see if there is any body language that is contradict with the given information, and also to see the level of anxiety. Researcher has to be very careful with choice of words, because young children might not understand the question if it is too technical. Also, the participants will be asked to take some psychological tests, such as Connor Rating Scale and Gray Oral Reading Test, to see if an individual has difficulty in performing, and to identify if an individual has learning disabilities. This process of gathering data will last 3 to 4 years. Participants have to do the interview every 6 months. In this study, physical or/and verbal abuse is the independent variable, while having mental illness, showing a sig h of aggression, and having learning disabilities are dependent variables. Physical abuse is defined as an act of other individuals that intend to cause pain, whereas verbal abuse is defined as the use of words that can affect others welfare in both mental and emotional way. Potential Findings and Implications The researcher hopes to find the outcomes correlated to the past researches: supporting the idea that physical abuse can lead to the development of mental disorders, and being able to determine the critical period that gives a child a greater chance to develop mental illness. In addition, the study will reveal the impacts of physical abuse on learning disabilities and expose in what degree of the violence can affect aggression. Essentially, this will give beneficial information to not only practitioners, but also anyone who is related to children or want to know more about the effective way to raise a child.

Friday, January 17, 2020

Differences in Roles Among RNs, LVNs, and UAPs

Registered NursesA registered nurse (RN) is an important component of a medical facility’s healthcare team, be it in a hospital setting, private clinic, patient’s home, or a nursing facility for the elderly. While most nurses work in acute care hospitals as hospital nurses, they also care for patients at hospital bedside, private clinics, and in private homes.   In hospitals, they are expected to perform the following tasks:Provide bedside care for hospital in-patients; Monitor all aspects of patient care, including diet and physical activity; Administer treatment and give medications to patients under the direction of physicians; Observe the patient, assess and record symptoms, and note reactions and progress; and Develop and manage nursing care plans and instruct patients and caregivers in how to perform tasks they can do themselves.Registered nurses may also work in clinics and patient’s homes, acting as an intermediary between the physician, hospital staff, and the patient.   They may also supervise other home health workers, including licensed vocational nurses (LVN) and unlicensed assistive personnel (UAP).   Registered nurses have to complete a Bachelor’s degree in Nursing, take and pass the National Council Licensing Examination (NCLEX), and secure a license for nurses at the California Board of Registered Nursing, if they intend to practice nursing in California.Licensed Vocational Nurse.   A licensed vocational nurse or LVN is an entry-level health care provider responsible for rendering basic nursing care.  Ã‚   Anyone who wishes to become an LVN has to attend a nursing school offering LVN, which is normally shorter and less comprehensive than a regular course for registered nurses.   After completing the academic and practical requirements of course, she can take a state board examination to practice the profession.  Ã‚   LVNs care for the sick, injured, convalescent, and disable under the direction of physi cians and registered nurses.LPNs provide basic bedside care, taking vital signs such as temperature, blood pressure, pulse, and respiration. They also prepare and give injections and enemas, monitor catheters, apply dressings, treat bedsores, and give alcohol rubs and massages. LVNs monitor their patients and report adverse reactions to medications or treatments. They collect samples for testing, perform routine laboratory tests, feed patients, and record food and fluid intake and output. To help keep patients comfortable, LPNs assist with bathing, dressing, and personal hygiene. Some LPNs help deliver, care for, and feed infants. Experienced LPNs may also supervise nursing assistants and aides.Unlicensed Assistive Personnel.   The term unlicensed assistive personnel (UAP) is a common one. A UAP is better known as a caregiver.   Examples of UAP include, but are not limited to, certified nursing assistants, home health aides, and patient care technicians.   Direct patient care activities are delegated by the registered nurse and assist the patient/client in meeting basic human needs. This includes activities related to feeding, drinking, positioning, ambulating, grooming, toileting, dressing and socializing and may involve the collect ting, reporting and documentation of data related to these activities.Indirect patient care activities focus on maintaining the environment and the systems in which nursing care is delivered. These activities assist in providing a clean, efficient, and safe patient care environment and typically encompass categories such as housekeeping and transporting, clerical, stocking and maintenance supplies.   Many people, specially the elderly, find it desirable to seek non-traditional unlicensed in such settings as assisted living, adult day care, and home care.

Thursday, January 9, 2020

Conjugating the Italian Verb Mandare

mandare: to send Regular  first-conjugation Italian verbTransitive verb (takes a  direct object) INDICATIVE/INDICATIVO Presente io mando tu mandi lui, lei, Lei manda noi mandiamo voi mandate loro, Loro mandano Imperfetto io mandavo tu mandavi lui, lei, Lei mandava noi mandavamo voi mandavate loro, Loro mandavano Passato Remoto io mandai tu mandasti lui, lei, Lei mand noi mandammo voi mandaste loro, Loro mandarono Futuro Semplice io mander tu manderai lui, lei, Lei mander noi manderemo voi manderete loro, Loro manderanno Passato Prossimo io ho mandato tu hai mandato lui, lei, Lei ha mandato noi abbiamo mandato voi avete mandato loro, Loro hanno mandato Trapassato Prossimo io avevo mandato tu avevi mandato lui, lei, Lei aveva mandato noi avevamo mandato voi avevate mandato loro, Loro avevano mandato Trapassato Remoto io ebbi mandato tu avesti mandato lui, lei, Lei ebbe mandato noi avemmo mandato voi aveste mandato loro, Loro ebbero mandato Future Anteriore io avr mandato tu avrai mandato lui, lei, Lei avr mandato noi avremo mandato voi avrete mandato loro, Loro avranno mandato SUBJUNCTIVE/CONGIUNTIVO Presente io mandi tu mandi lui, lei, Lei mandi noi mandiamo voi mandiate loro, Loro mandino Imperfetto io mandassi tu mandassi lui, lei, Lei mandasse noi mandassimo voi mandaste loro, Loro mandassero Passato io abbia mandato tu abbia mandato lui, lei, Lei abbia mandato noi abbiamo mandato voi abbiate mandato loro, Loro abbiano mandato Trapassato io avessi mandato tu avessi mandato lui, lei, Lei avesse mandato noi avessimo mandato voi aveste mandato loro, Loro avessero mandato CONDITIONAL/CONDIZIONALE Presente io manderei tu manderesti lui, lei, Lei manderebbe noi manderemmo voi mandereste loro, Loro manderebbero Passato io avrei mandato tu avresti mandato lui, lei, Lei avrebbe mandato noi avremmo mandato voi avreste mandato loro, Loro avrebbero mandato IMPERATIVE/IMPERATIVO Presente — manda, mandi, mandiamo, mandate, mandino INFINITIVE/INFINITO Presente  Ã¢â‚¬â€ mandare Passato — avere mandato PARTICIPLE/PARTICIPIO Presente — mandante ​ Passato  Ã¢â‚¬â€ mandato GERUND/GERUNDIO Presente  Ã¢â‚¬â€ mandando Passato — avendo mandato

Wednesday, January 1, 2020

Cultural Clinical Project Life Events Of The Peruvians

Cultural Clinical Project: Life Events of the Peruvians Soralda Polanco Wilkes University June 10, 2016 Abstract The purpose of this paper is to describe the explored cultural and social experiences of the Peruvian people in the United States. As the 11th-largest from the total Hispanic population in the United States, Peruvians warrant a cultural investigation (Ennis et al., 2011). Hispanic communities are increasing and their social differences are vast. One cannot consider cultural competence without surveying the multiple populations within the large Hispanic population in the United States. Cultural Clinical Project: Life Events of the Peruvians Introduction The Peruvian culture was selected for this cultural assignment after an encounter with a surprising Peruvian music performance during a routine work commute at a New York City train station. The band, Espiritu Andino, consisted of several male performers in ponchos and threaded caps. Although outshined by a pan flute, all the typical musical instruments worked together to produce soothing and melodic notes. The listeners could easily transcend to mystic mountain tops and river passages. The performance ignited not only intrigue but also admiration for the Peruvian culture. Peruvians in the United States In the United States, the Hispanic race refers to people from Cuba, Mexico, Puerto Rico, South America, Central American, and other countries of Spanish origin. According to the 2010 Census,Show MoreRelatedProject Mgmt296381 Words   |  1186 Pages Cross Reference of Project Management Body of Knowledge (PMBOK) Concepts to Text Topics Chapter 1 Modern Project Management Chapter 8 Scheduling resources and cost 1.2 Project defined 1.3 Project management defined 1.4 Projects and programs (.2) 2.1 The project life cycle (.2.3) App. G.1 The project manager App. G.7 Political and social environments F.1 Integration of project management processes [3.1] 6.5.2 Setting a schedule baseline [8.1.4] 6.5.3.1 Setting a resource schedule 6.5.2.4 Resource