Humanistic qualities are highly valued complements to the biopsychosocial approach, which involves the application of the scientific method to diverse biological, psychological, and social phenomena as related to human health.

Reflection Paper: Addiction and Theories

Ksir, C., Hart, C., Ray,O. Drugs, Society and Human Behavior, Twelfth Edition. McGraw Hill Publisher

Read Chapter 2 of the text, note the definitions and the major theories about how drug use leads to drug abuse/addiction.

What is your favorite theory(s) of Addiction?

Why do people become addicted to alcohol, tobacco and other drugs (ATOD)?

Write a definition of addiction/dependency:

Nature of addiction/dependency – etiology: what happens to a person who is addicted/dependent on ATOD (See also chapter 1 “Drug Dependence” and “Stages of Drug Dependence”; Chapter 2 “The vicious Cycle of Drug Addiction)

Bio-Psycho-Social Model: write your favorite explanations of why someone might become addicted to AOD, based on specific theories in each of the following categories

Biological causes/factors of addiction/dependency

Psychological causes/factors of addiction/dependency

Social causes/factors of addiction/dependency

The Biopsychosocial Approach

Text Box: Biosphere Society/ Nation Culture/Subculture Community Family Individual Nervous System Organs Tissues Cells MoleculesThe biopsychosocial approach was developed at Rochester decades ago by Drs. George Engel and John Romano. While traditional biomedical models of clinical medicine focus on pathophysiology and other biological approaches to disease, the biopsychosocial approach in our training programs emphasize the importance of understanding human health and illness in their fullest contexts. The biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.

• Biological, psychological, and social factors exist along a continuum of natural systems, as depicted in the list here.

• Systematic consideration of psychological and social factors requires application of relevant social sciences, just as consideration of biological factors requires application of relevant natural sciences. Therefore, both the natural and social sciences are ‘basic’ to medical practice. In other words, psychological and social factors are not merely epiphenomena: they can be understood in scientific ways at their own levels as well as in regard to their biological correlates.

• Humanistic qualities are highly valued complements to the biopsychosocial approach, which involves the application of the scientific method to diverse biological, psychological, and social phenomena as related to human health.

• While the biomedical approach takes the reductionistic view that all phenomena are best understood at the lowest level of natural systems (e.g., cellular or molecular), the biopsychosocial approach recognizes that different clinical scenarios may be most usefully understood scientifically at several levels of the natural systems continuum.

To apply the biopsychosocial approach to clinical practice, the clinician should:

• Recognize that relationships are central to providing health care

• Use self-awareness as a diagnostic and therapeutic tool

• Elicit the patient’s history in the context of life circumstances

• Decide which aspects of biological, psychological, and social domains are most important to understanding and promoting the patient’s health

• Provide multidimensional treatment

The Biopsychosocial Approach

REFERENCES

Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977;196:129-136.

Engel GL: The clinical application of the biopsychosocial model. Am J Psychiatry 1980;137:535-544.

Frankel RM, Quill TE, McDaniel SH (Eds.): The Biopsychosocial Approach: Past, Present, Future.University of Rochester Press, Rochester, NY, 2003.

Borrell-Carrió F, Suchman AL, Epstein RM: The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med 2004;2:576-582.

Cohen J, Brown Clark S: John Romano and George Engel: Their Lives and Work.University of Rochester Press, Rochester, NY, and Boydell and Brewer Limited, Suffolk UK, 2010.

Discuss how the Affordable Care Act (ACA) supported the Future of Nursing initiatives

Discuss the meaning of ‘full partners’

Explain initiatives implemented and/or are recommended to advance this key message

Discuss how the Affordable Care Act (ACA) supported the Future of Nursing initiatives

Discuss 2 initiatives that may be affected if the American Health Care Act is voted into law

Explain the differences between use, abuse and addiction/dependence

Summary Paper on Addiction

In this class you have already written (Response paper 1 and 2) a paper describing a definition of addiction and another paper explaining the BioPsychoSocial theories of addiction. Now write this paper as a summary of the information you have gathered. The ASAM website and the textbook are your sources of information so far, but you can use other sources and include them in your citations.

Write a 3 page paper (typed, double spaced) explaining alcohol/drug addiction or dependency. Use this rubric and make sure to include certain required information. Use at least 2 credible sources of information and include this in the bibliography.

Define Addiction/Dependency

Explain the differences between use, abuse and addiction/dependence

3 points

Signs and Symptoms of Addiction

(Use DSM and ASAM definitions)

Describe the physical and psychological features of addiction.

4 points

Theory or Theories

Describe the Disease Model of addiction

2 points

Resources/Bibliography

Properly cite at least 2 credible sources of information.

1 point

Cultural and social landscape in which the story is situated

By the due date assigned, post your response of at least 150-200 words to the Discussion Area. By the end of the week, comment on at least two of your classmates’ submissions.

IMPORTANT NOTE: Your instructor will assign a play for the class to read and will post the information as a Week 3 Announcement (i.e., The Glass Menagerie, Trifles, or A Doll’s House).

Prompt: The setting (space, place, and time) forms the backdrop and defines the atmosphere for a play. Settings sometimes symbolically present plot and character issues. For example, a locked door could represent an obstacle within a character’s life. At other times, the setting can limit or permit the characters’ actions.

Think about the setting in the play you read. Consider these aspects:

Physical space in which the story is placed (confined or open, small or large, limited to one place or not)
Cultural and social landscape in which the story is situated
Time in which the action takes place (time of day, year, era, or century)
Stage directions, including lighting, music, and placement of props

Discuss the setting and stage directions in the play you read. Does the setting produce certain responses from the audience? In what ways does the setting influence the events? Does the setting constrain or liberate the characters? How does the setting reflect the central ideas of the play?

Tips: Remember to provide evidence for your claims in the form of quoted passages from the play. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document.

Check grammar and spelling before posting.

Williams, The Glass Menagerie is the play.

Using the SHRM case study (an organization named Reyes) provided, students will apply their knowledge about business and the function of Human Resources. In addition the use of a common business tool, a Strengths, Weaknesses, Opportunities and Threats (SWOT) assessment is used to assess both the HR domains and the role the HR function is performing in the organization.

KIM WOODS ONLY

Assignment One: MS PowerPoint Presentation (20%)

Instructions

Using the SHRM case study (an organization named Reyes) provided, students will apply their knowledge about business and the function of Human Resources. In addition the use of a common business tool, a Strengths, Weaknesses, Opportunities and Threats (SWOT) assessment is used to assess both the HR domains and the role the HR function is performing in the organization.

SPECIFICS

It is anticipated that the presentation will be approximately seven to ten slides, written in bullet points with additional notes, if needed, included in the notes section of the presentation, and demonstrate good academic writing style. In text citations and references will be presented in APA format and are in addition to the approximately seven to ten slides. At least one scholarly source is to be included on the reference page along with corresponding in text citations in the content of the presentation. Students are to use the UMUC writing center or Owl Purdue online writing center for tutoring on APA format for in text citations and reference lists.

1. Title Page (Title of the paper, Your Name, Course Number, University, Professor’s Name & Date)

2.

3. Introduction and Purpose of the Presentation (what the paper is intended to achieve) DONE

4.

5. Summary of Organization’s Capabilities and Requisite Employee Competencies (what is Reyes in business to do and what competencies or knowledge, skills or abilities are needed of the employees in the entire organization in order to sustain success?) The course module/commentary gives examples of capabilities and competencies.

6.

7. Challenges the Organization Needs to Address (There are many in this study, find at least three that you think are key issues)

8.

9. Summary of the Findings of the SWOT Assessment for the HR function (using the following chart)

10.

11. Summary or Conclusions (Based on the challenges you identified and the SWOT, what are your findings? Go back to your purpose statement for the paper and reiterate what you have achieved)

12.

I only want to see short bullet points. I do not want to see whole sentences on the slides.

Your explanation of your short bullet points goes into the notes section of the slide. Each slide needs to have notes explaining what the slide is all about.

USE THE SUMMARIES IN THE INSTRUCTIONS TO LABEL THE SLIDES, YOU NEED TO FOLLOW THE INSTRUCTIONS

SWOT Assessment

HR Domains and Roles

Strength, Weakness, Opportunity or Threat?

Comments/Description on Your Finding of the Strength, Weakness, Opportunity or Threat

Human resource development and succession planning

Risk management, safety and security

Talent acquisition

Total rewards

Employee and labor relations

Strategic leaders

Credible activists

Business expert

Culture and change champion

HR innovators and integrators

Proponents in HR and organizational technology

Rubric Name: Assignment 1 Rubric (Power Point Presentation) 20%

Criteria

Level 5 Exceeds Expectations 5 points

Level 4 Meets Expectations 4.5 points

Level 3 Meets Some Expecations 4 points

Level 2 Does Not Meet Expectations 2 points

Level 1 Did Not Submit or Did Not Meet Minimum Expectations 0 points

Criterion 1 Summary of Organization’s Capabilities and Requisite Employee Competencies

Excellent content, thorough and insightful. Exceeds expectations.

Generally excellent content, thorough and insightful. Meets expectations

A general good job. Meets some of the expectations.

Is not complete in content, or thorough and insightful. Does not meet stated expectations.

Did Not Submit or Did Not Meet Minimum Expectations

Criterion 2 Challenges the Organization Needs to Address

Excellent content, thorough and insightful. Exceeds expectations.

Generally excellent content, thorough and insightful. Meets expectations.

Generally a good job. Meets some of the expectation.

Is not complete in content, or thorough and insightful. Does not meet stated expectations

Did Not Submit or Did Not Meet Minimum Expectations

Criterion 3 SWOT Analysis of the HR Function and the HR Professionals

Thorough and insightful, demonstrates excellent knowledge of the HR function.

Generally thorough and insightful, demonstrates good knowledge of the HR function.

Meets some but not all the expectations

Is not complete in content, or thorough and insightful. Does not demonstrate good knowledge of the HR function.

Did Not Submit or Did Not Meet Minimum Expectations

Criterion 4 Academic Writing Style Including Introduction, Purpose Statement, Citations and References

Writes in an error free manner, includes all the required elements, writing is clear, logical, flows well and is convincing. Citations and references are provided in accurate APA format. Exceeds the standard expectations for the assignments.

Generally writes in an error free manner, includes all the required elements, writing is mostly clear, logical, flows well and is convincing. Citations and references are provided in accurate APA format. Meets the expectations for the writing style of a capstone class.

Meets some of the expectations of writing in an error free manner, includes all the required elements, writing is mostly clear, logical, flows well and is convincing. Not all the citations and/or references are provided in accurate APA format. Meets some but not all the expectations for the writing style of a capstone class.

Writing is not error free,, does not include all the required elements, writing is not completely clear, logical, and/or does not always flows well and is not convincing. Citations and references are not provided in accurate APA format.

Did Not Submit or Did Not Meet Minimum Expectations

Overall Score

Level 5 Exceeds Expectations 18.1 or more

Level 4 Meets Expectations 16.1 or more

Level 3 Meets Some Expectations 14.1 or more

Level 2 Does Not Meet Expectations 8 or more

Level 1 Failure 0 or more

18.1 to 20 Points

16.1 to 18 Points

14.1 to 16 Points

8 to 14 Points

Zero Points

A study followed 900,000 US adults from 1992 to 2008. At baseline, all participants were screened and determined to be cancer free and their body mass index (BMI) was calculated. Body mass index is a measure of obesity that is calculated using a person’s height and weight.

Assignment: Problem Set: Confounding and Effect Modification

Public Health Epidemiology: Decoding the Science

DUE 1/31/18 8 P.M EST BE ON TIME..

This Assignment will allow you to practice individually and increase your skills assessing confounding and effect modification. Your goal for this Assignment is to compute and interpret the effects of confounding and effect modification.

Instead, copy and paste the problem set into a Word (or equivalent) document and complete all problems, showing your work. . Be sure that your completed problem set includes your responses to all questions and shows the calculations and/or reasoning to justify all answers.

NOTE:PREVIOUS WORK WAS DONE BY ANOTHER TUTOR WITH MOSTLY WRONG ANSWERS. I’VE ATTACHED REMARKS FROM PROFESSOR HELPING WITH ANSWERS. PLEASE READ CAREFULLY

1) A study followed 900,000 US adults from 1992 to 2008. At baseline, all participants were screened and determined to be cancer free and their body mass index (BMI) was calculated. Body mass index is a measure of obesity that is calculated using a person’s height and weight. Subjects were separated into the following groups according to their BMI: (a) normal weight, (b) slightly overweight, (c) moderately overweight and (d) greatly overweight. 57,145 deaths from cancer occurred in the population during the follow-up period. . The following results were seen for men and women when the heaviest members of the cohort (greatly overweight) were compared to those with normal weight:

Men: Risk ratio of cancer death = 1.5, 95% confidence interval = 1.1–2.1

Women: Risk ratio of cancer death = 1.6, 95% confidence interval = 1.4–1.9

State in words your interpretation of the risk ratio given for the men.State in words your interpretation of the risk ratio given for the women.Are these results confounded by gender?The authors stated that they controlled for confounding many risk factors using a multivariate analysis. State an alternative method that the authors could have used to control for confounding in the design or analysis. In addition, name two confounding variables that you think should be controlled using this method.

2) A cohort study was undertaken to examine the association between high lipid level and coronary heart disease (CHD). Participants were classified as having either a high lipid level (exposed) or a low or normal lipid level (unexposed). Because age is associated with both lipid level and risk of heart disease, age was considered a potential confounder or effect modifier and the age of each subject was recorded. The following data describes the study participants: Overall, there were 11,000 young participants and 9,000 old participants. Of the 4,000 young participants with high lipid levels, 20 of them developed CHD. Of the 6,000 old participants with high lipid levels, 200 of them developed CHD. In the unexposed, 18 young and 65 old participants developed CHD.

Construct the appropriate two by two tables using the data given above. Be sure to label the cells and margins.Calculate the appropriate crude ratio measure of association combining the data for young and old individuals.Now, perform a stratified analysis and calculate the appropriate stratum-specific ratio measures of association. What are they?Do the data provide evidence of effect measure modification on the ratio scale? Justify your answer.

3) A study used self-administered mail questionnaires to gather data on height and weight in order to calculate a measure of obesity. Which of the following types of problems were likely avoided by this method of data collection, and why?Interviewer bias,Exposure misclassification, Confounding,Selection bias,Loss-to-follow-up

attachment

The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions.

Smith, Turkel & Wolf (2013) Chapter 4

Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Directions: Complete the Reflective Journal questions presented in your Smith, Turkel, & Wolf (2013) text as defined in the course outline. Post the responses to the questions in the D2L dropbox.

book: https://books.google.com/books?id=x8jOEKojWRQC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

Competition: Does outsourcing encourage competition? Is this a good thing? Why or why not?

Select ONE of the following perspectives on outsourcing, and answer the related questions. Although your opinion is always valued, be sure to support your opinion with facts obtained from your course materials, the videos, or a reliable source. Make sure to cite your sources.

The consumer: Does the consumer benefit? Are prices lowered by outsourcing? Why or why not?
Efficiency and productivity: Does outsourcing enhance efficiency and productivity? Why or why not?
Competition: Does outsourcing encourage competition? Is this a good thing? Why or why not?
Developing countries: Does outsourcing benefit developing countries? Why or why not?
International stability: Does outsourcing foster international cooperation, respect, and stability? Why or why not?

Goals should be clearly stated and describe what the organization or team intends to accomplish. Use this worksheet to establish a goal by following the SMART formula outlined below.

Disclaimer: Use of this tool is not mandated by CMS for regulatory compliance nor

does its completion ensure regulatory compliance.

QAPI Goal Setting Worksheet

Directions:

Goal setting is important for any measurement related to performance improvement. This worksheet is intended to help QAPI teams establish appropriate goals for individual measures and also for performance improvement projects. Goals should be clearly stated and describe what the organization or team intends to accomplish. Use this worksheet to establish a goal by following the SMART formula outlined below. Note that setting a goal does not involve describing what steps will be taken to achieve the goal.

[Example: We will increase the number of long-term residents with a vaccination against both influenza and pneumococcal disease documented in their medical record from 61 percent to 90 percent by December 31, 2017.]

1. Describe the business problem to be solved (Use the SMART formula below to develop a goal)

A. SPECIFIC

Describe the goal in terms of 3 ‘W’ questions:

· What do we want to accomplish?

· Who will be involved/affected (what staff, what residents, others)?

· Where will it take place?

B. MEASURABLE

Describe how you will know if the goal is reached:

· What is the measure you will use?

· What is the current data figure (i.e., count, percent, rate) for that measure?

· What do you want to increase/decrease that number to?

C. ATTAINABLE

Defend the rationale for setting the goal measure above:

· Did you base the measure or figure you want to attain on a particular best practice/average score/ benchmark?

· Is the goal measure set too low that it is not challenging enough?

· Does the goal measure require a stretch without being too unreasonable?

D. RELEVANT

Briefly describe how the goal will address the business problem stated above.

E. TIME-BOUND

Define the timeline for achieving the goal:

· What is the target date for achieving this goal?

· Write a goal statement, based on the SMART elements above. The goal should be descriptive, yet concise enough that it can be easily communicated and remembered. Use the example at the beginning for a reference on statement format and information.

Goal Statement:

Tip: It’s a good idea to post the written goal somewhere visible and regularly communicate the goal during meetings in order to stay focused and remind caregivers that everyone is working toward the same aim.

Page 1 of 3