Monday, December 23, 2019

Long Term Effects Of Early Trauma On Children - 1521 Words

The Long Term Effects of Early Trauma on Children in Foster and Adoptive Settings Alyssa Lodhi Amberton University October 25th, 2014 Personal Journey When I was five years old, my mom told me that there were some children who didn’t have moms. I was shocked, and told my mother frankly that I’d be their mom. Caring for children with early trauma has been the driving passion of my life. When I was six and again when I was eight, my parents adopted children from Vietnam. Having siblings who were born and orphaned in another country put a very personal face for me on human rights and child welfare issues around the world. I’ve spent the last four years working for the International Foster Care program at Catholic Charities Fort†¦show more content†¦Purpose Because of this, my purpose in research will be to explore the long term effects on foster and adopted children, and whether secure attachment to a primary caregiver provides an environment that allows for emotional healing from traumatic events and their effects. Significance The study of the developmental implications of early trauma for children is essential for understanding appropriate expectations and interventions for children to help foster and adoptive families and child welfare workers maintain appropriate expectations for children who have been adopted and better equip them to meet their children’s unique needs. Considering that children who have experienced traumatic removal from a primary caregiver are likely to exhibit behaviors that lead to placement breakdowns and therefore more traumatic removals from caregivers, it is essential for positive long term outcomes that the initial placement and child’s existing connections be preserved (Newton, R. R., Litrownik, A. J., Landsverk, J. A., 2000). Additionally, foster parents who hold appropriate expectations and understand causes and reasons for a child’s behavior is predictive of placement stability (Butler Charles, 1999). Operational Definitions for the Study Trauma: a deeply distressing or disturbing experience or physical injury Early trauma: Trauma that occurs between the ages of 0-6. Normal Development:Show MoreRelatedChildhood Trauma And The Personality Disorders Essay1682 Words   |  7 PagesAbstract Trauma affects more than twenty-five percent of children in America every year (NCMHP, 2012). 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Shaken Baby Syndrome is a simple descriptive for a disturbingRead MoreAnnotated Bibliography: Early Childhood642 Words   |  3 PagesSomatic Expressions of Trauma in Experiential Play Therapy in International Journal of Play Therapy, Vol. 20, No. 3, 138 152. Researchers have found connections between animal and human responses to trauma that are important in understanding somatic (non-verbal) cues and conditioning. Some research has been done that shows parallels between animal behaviors and child behaviors in cases of abuse and neglect, although the literature remains scant. Children act out trauma in play therapy, resultingRead MoreThe Damages Caused by Canadian Residential Schools for Indigenous Children in the 19th Century1618 Words   |  7 Pageswere responsible for providing compulsory education to Indigenous children within governmentally constructed schools. 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Some threaten our sense of safety and connection. These are all experiences that take time to heal and recover from. We must find a way to reconcile the life we had before it happened and the life as we know it after a tragic event. The pain of the memories alone can be devastating. It takesRead MoreLong Term Effects Of Child Sexual Abuse1467 Words   |  6 PagesLong-term effects of child sexual abuse Child Abuse can be a fundamental reason of causing issues for children and young people in physically and mentally. The primitive damage caused by child sexual abuse effect on the child’s developing capacities for trust, intimacy, agency and sexuality so that child sexual abuse is considered as a trigger of mental health problems and increase the risk of major depressive disorder in early adulthood or throughout their lifetime. There is a fact that thoseRead MoreEssay Child Abuse and Neglect946 Words   |  4 PagesChild Abuse and Neglect Abuse of children has become a major social problem and a main cause of many peoples suffering and personal problems. Neglect, physical abuse, and sexual abuse have an immediate and long-term effects on a childs development. The long-term effects of abuse and neglect of a child can be seen in psychiatric disorders, increased rates of substance abuse, and relationship difficulties. Child abuse and neglect is a huge problem. People that abuse are people who have beenRead MoreSymptoms And Treatment Of The Foster Care Youth Essay1038 Words   |  5 Pagesthe most challenging problem facing foster care youth today (Mckay, Lynn Bannnon, 2005) . Children in care are more likely to have been exposed to multiple forms of traumatic experiences, such as physical or sexual abuse, neglect, family and/or community violence, trafficking or commercial sexual exploitation, or sexual abuse, bullying, or loss of loved ones. Consequently, trauma experienced by children in foster care is often compl ex and left untreated permeant permanently effecting the overall

Sunday, December 15, 2019

Coach Carter Free Essays

Abydos Passion Play is mainly considered to be the first play to ever be performed and depicted as a religious ritual or event. Zen Buddism is one for most common and well-known Japanese Dada. It is the kung fu monks. We will write a custom essay sample on Coach Carter or any similar topic only for you Order Now How to read a Play according to Aristotle you must have six parts in order to read a play. Character, plot, thought, music, diction and spectacle. Blindness as it is depicted in Oedipus Rex, signifies the ignorance a character possesses (Oedipus was blind to the clues of his birth). The Noh Play Production is an interesting Japanese production that contains only male actors, and revolves around Zen Buddism. The Noah play is very simplistic in terms of the design, usually with prayer and front-center stage. It also involves musical structure. Character * Physical * Socio-economical * Psychological * Moral/Ethical Noah and his sons is a play with major dramatic structure. It was written in the middle ages, depicting the Great Food. Noah is the main character of the play. In my opinion the major question in this play is, will Noah fulfill God’s orders on a consistent basis? He argued and fought with his wife at all times, they could never be on one accord, and have more good days then bad days in terms of their marriage. His physical appearance in this play was around his 50s and 60s in terms of age. He is introduced in the play to be considered as an old, still aging 600 and some years old. He has a wife and has children. The socio-economical of this play Noah and his sons is that they were believers in Christ but really never obeyed God especially Noah he was very stubborn and never listened to anyone. The Psychological perspective of this play is that Noah mentally disobeyed God in all of his ways in orders. He also threaten to beat his wife, then as they play goes on he and his wife agree stop fighting and become together as one. The moral/ethical perspective of this play is God. It’s simple to respect God and his orders. The flood only happened because the flood and the only way they were saved are because of the Arc. Personally if I was them I would always listen to God, because disobedience to God could lead to consequences. How to cite Coach Carter, Papers Coach Carter Free Essays Questions for Movie Coach Carter Spring 2011 1. In the first scene of the movie the team members were arguing and even fighting in the locker room. One member identified himself to the news media that he was the â€Å"star player†. We will write a custom essay sample on Coach Carter or any similar topic only for you Order Now As Coach Carter identified in the movie, they had only won 4 games. By the last scene of the movie, the team went to the championship games. What do you think made the difference in the team’s ability to become winners? 2. In a scene of the movie, Coach Carter made two of the best players leave for failing to follow his instructions, knowing that this would hurt the team’s possibility to win games. One player even pointed out that they were the highest scoring players. Coach Carter’s response was, â€Å"I guess we will have two more high scoring players. † What do you think was Coach Carter’s rationale behind his decision? 3. What was the significance of the contract Coach Carter had the team members sign? Why did the contract include the team members having to wear a tie on game day? Why did they have to maintain a 2. 3 grade point average to play? 4. What did Coach Carter mean when he told the team, â€Å"The losing stops now. Winning here means winning out there. † 5. At the beginning of the movie, Coach Carter asked the question, â€Å"What is your biggest fear? † this same question was asked by him several times throughout the movie. After the team was benched, a player stood up and gave his definition of fear (see below). Describe in your own words the significance of this summation and how it relates to living life. How does this relate to our studies of Juvenile Delinquency? 6. Upon review of the various theories we have studied over the past several classes, which delinquency theory (s) can you identify from scenes in this movie? Briefly describe those theories you observed. How to cite Coach Carter, Essay examples

Saturday, December 7, 2019

Mental Health

Question: Discuss about the Mental Health. Answer: Introduction Nurses in mental health setting require skills and expertise in order to provide mental health care. However, nurses in mental health setting need to further develop in order to provide effective care. The fifth National Mental Health Plan is the collaborative government action. It focuses on seven priority areas for national action. This paper focuses particularly on the priority area- Physical health of people living with mental health issues. In the context of this priority area the paper critically discusses the how nursing practice has and needs to further develop in order to effectively reflect the values expressed. The rationale for selecting this priority area for the paper is the rich literature that showed poor physical heath in the people with the mental illness. Due to poor heath these people are twice as likely to die as the general population (Crawford et al., 2014). Discussion Nurses have good communication skills to communicate with people from different cultural backgrounds. However, there is a need of eliminating the stigmatizing attitude among nurses. Even when patients with mental illness arrive with physical symptoms in emergency department, nurses overlook and judge the patient as psycho or schizophrenia (Shefer et al., 2014). In most cases the nurses would perform only one set of observation for mentally ill patients in ED. On the other hand those without mental illness were subjected to two-three sets of observations. The attitude of stigma and discrimination needs to be changes. There is a need of development programs for nurses to eliminate this attitude to address the physical health of the patients in addition to the emotional concerns. Nurses if continue to have this attitude will lead to diagnostic overshadowing and misdiagnosis of people. Although not all the misdiagnosis cases are caused by this attitude, it is still considered a part of t he problem. It implies for training of nurses in ED that is focused on the parallel assessment of both teams (psychiatric and emergency team). The psychiatric nurses must learn how to enhance and structure the communication channels between the two departments. There is a need to overcome the disagreements over responsibilities between the two teams by fuller operationalisation for example to prevent delay in capacity assessments (Crawford et al., 2014). According to Happell et al., (2013) it is important for the mental health hospitals to mandate screening as essential for good practice. Diagnosis can be clarified by regular screening and monitoring of physical health. It is essential as clinical symptoms of anti-psychotic medication develop over time. The rationale for the need is to prevent the prioritization of the mental health over physical health due to stigma. I would like to relate this with the comments of one of my colleague which it is better to perform screening at six months interval as annual screening may be too late to modify risks as antipsychotics changes physical heath drastically. Therefore, mandating may help every nurse to involve in regular screening. The patients with mental illness have poor judgment and are highly likely to engage in sexual behavior that gives poor health outcomes such as HIV. The mental health nurses are in prime position to engage in discussion in patients regarding contraception, early detection of symptoms and need of sexual health checkups (Glasper 2016). However, psychiatric nurses fail to incorporate the sexual health as part of comprehensive nursing assessment and identify the individuals level of understanding. Nurses need intense training on importance of sexual reproductive health for physical wellbeing of people with mental illness and eliminate reluctance to raise such conversation with the patients (Crawford et al., 2014). As a nurse I myself felt the need of assistance to discuss the reproductive health with the patient. The study executed by Glasper (2016), showed that nurse perceive training needs for management in the area of cardiovascular health, nutrition and diabetes to provide effective care for patients with mental illness. As a nurse I did sometimes felt lack of confidence in technical skills such as resuscitation. Most of my friends including me believe that the only barriers in delivering effective physical health care was own workload and patients motivation. The mental health nurses in UK perceived training needs in the same areas mentioned above (Robson et al., 2013). As a nurse there were instances where I was in dilemma as to how to achieve therapeutic relationship with the client in order to encourage to quit smoking. I believed that the patients should be banned to quit smoking in the premises. On the other hand my colleagues suggested that nurses too should smoke along with the patients to ensure successful therapeutic relationship with the patients. This signifies that the nurses have a positive attitude towards delivery of physical of care of mentally ill patients. However, there is a lack of structured ways or protocol to initiate the care in the general areas. Consequently, there is lesser contribution paid to management of diabetes, sexual health advice and smoking cessation where are all the three domains significantly affect the physical health of the patients with mental illness. People suffering from schizophrenia and bipolar disorders are highly likely to have sedentary habits with obesity (Glasper, 2016). Nurses should encourage such patients to engage in physical activity and assess the same during assessment. However, most nurses do not consider this as their responsibility. It is my personal experience where I felt that patients should be referred to physical trainer for this purpose instead of taking entire responsibility on my shoulders. There is a need of guidelines for many other nurses like me to take action in this area instead of merely educating the benefits of it to the patients. This is possible only when the nurses need of work hour flexibility is handled. There is a need of hospitals to overcome staff shortage issues. Otherwise, nurses would focus only on mental health concerns and not on the physical health considering as additional burden. Poor dental and oral health is highly common in the people suffering from mental illness. Nurses do n ot incorporate the dental health assessment in screening and monitoring. Nurses are not aware that the medications for psychosis also effect dental health in addition to smoking and substance abuse. Therefore, nurses screen dental health only in substance users. This again indicates lack of awareness of what aspects to be included in screening and monitoring (Varcarolis, 2016). Patient fall is the other major significant physical health issue that is unmet by mental health nurses. Fall impacts the life of the patients and increases the hospital costs. However, nurses implement fall prevention for older age group ignoring the fact that some antipsychotic medication triggers fall such cholinesterase inhibitors, which may also happen with young men and women with mental illness (Hamaideh, 2016). I failed to prevent fall despite adequate training. I felt the need of support and assistance from multidisciplinary team which in most case is not available (Thongsai et al., 2016). This inhibits fall preventions and this area is overlooked by the organization I worked previously. According to Robson et al. (2013) training in areas where nurses need to learn specific protocol or awareness on particular health concerns can be provided. Nurses who have post-registration in physical health care training and experience of work in inpatient setting showed greater involvement in meeting physical health needs. There is need of innovative strategies to establish therapeutic relationship with clients having substance dependency. However, the study says that no specific training can be provided to change the attitude of the nurses or reluctance to address the physical health needs of the patients. According to Gray and Brown (2016) nurses did not consider physical health a priority for the service users and some greatly ignore the adverse effects of antipsychotic medication. This can be dealt by implementing stringent policies such as cancelling the licenses of the nurses showing discriminatory attitude towards patients or reluctant to encourage patient to quit addictio n. This will trigger fear and motivation to work hard among nurses who are well trained but tend to avoid delivery of appropriate care as a result of prejudgment. Positive attitude of the nurses is imperative in effecting outcome of care. Therefore, this is a key target of future research and training initiatives argued (Gray Brown, 2016). One of my batch mate identified the gap between the screening policy and the practice in various mental health hospitals in Australia. For example there were instances where I was told to manage crisis or address immediate event and it worked against the screening of physical heath. There is need to keep basic checks in place in addition to policies. The organization must clarify nurses about legal liability in cases where nurses fail to screen and follow up the same within specific time. It is needed because without following up screening would not be of any benefit to the client (Emerson et al., 2016). Conclusion: Nurses in mental health setting pay significant role in improving physical health of people suffering from mental health disorders. Based on the literature review and personal experience there is a need to overcome the barriers in physical care by addressing the nurses liability concerns, roles and responsibility issues and need of training and development in the area to allow nurses to be more certain about the involvement in the cancer screening, dental and eye health checks, sexual health promotion and providing cardiac health and nutrition advice. In addition to training initiatives there is a need of implementing stringent nursing practice for mental health nurses to eliminate reluctant attitude and multidisciplinary team support. This will allow them to have better awareness of their roles and responsibilities. References: Crawford, M. J., Jayakumar, S., Lemmey, S. J., Zalewska, K., Patel, M. X., Cooper, S. J., Shiers, D. (2014). Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study.The British Journal of Psychiatry,205(6), 473-477. Emerson, T., Williams, K., Gordon, M. (2016). Physical health screening for patients with severe mental illness.Mental Health Practice,20(1), 21-25. Glasper, A. (2016). Improving the physical health of people with mental health problems.British Journal of Nursing,25(12), 696-697. Gray, R., Brown, E. (2016). What does mental health nursing contribute to improving the physical health of service users with severe mental illness? A thematic analysis.International Journal of Mental Health Nursing. Hamaideh, S. H. (2016). Mental health nurses perceptions of patient safety culture in psychiatric settings.International Nursing Review. Happell, B., Scott, D., Nankivell, J., Platania?Phung, C. (2013). Screening physical health? Yes! But: nurses views on physical health screening in mental health care.Journal of clinical nursing,22(15-16), 2286-2297. Robson, D., Haddad, M., Gray, R., Gournay, K. (2013). Mental health nursing and physical health care: A cross?sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.International Journal of Mental Health Nursing,22(5), 409-417. Shefer, G., Henderson, C., Howard, L. M., Murray, J., Thornicroft, G. (2014). Diagnostic overshadowing and other challenges involved in the diagnostic process of patients with mental illness who present in emergency departments with physical symptomsa qualitative study.PloS one,9(11), e111682. Thongsai, S., Gray, R., Bressington, D. (2016). The physical health of people with schizophrenia in Asia: baseline findings from a physical health check programme.Journal of psychiatric and mental health nursing,23(5), 255-266. Varcarolis, E. M. (2016).Essentials of psychiatric mental health nursing: A communication approach to evidence-based care. Elsevier Health Sciences.