Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long term care facility but feels she is not able to care for her.

Directions:
Part 1:
• The original post must be at least 200 – 300 words in length
• What is your role in this situation?
• How might you help the daughter with her decision?
• What information would you give the daughter?

Scenario: Family
A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence.

Directions:
Part 1:
• The original post must be at least 200 – 300 words in length
• What housing options would be appropriate for him? Why?
• What advantages would such housing options offer over living alone?

Cognitive behavior Therapy vs Rational EmotiveBehaviour Therapy

Cognitive behavioral therapy is a psychological therapy used in treating patients with depression and to incite happiness in the patient. The therapy approaches the problem by targeting at the solution to the problem more than going back to the causes. On the other hand, rational emotive behavioral therapy, majorly known as REBT, is also another psychotherapy used to solve problems concerning stress. This therapy uses the replacement of self-rejecting feelings in a depressed person with self-believe and confidence (Ellis, 2013). The therapy challenges the rationale of bad thoughts about self.

There are a number of similarities that both therapies share, these include: Both of the therapies employ psychoeducation in the treatment of stress, the therapies also teach the patient on how to employ therapeutic techniques in treating themselves (Szentagotai, David, Lupu, & Cosman, 2008). Another similarity between the two therapies is that emphasis is laid on the importance of cognitive psychological dysfunction and they all focus on changing the behavior of the patient through their various different approaches. 

Differences in the therapies

Despite these similarities, the two therapies have variations which distinguish them. These differences include; Self- acceptance: the rational emotive behavior therapy focuses on the self-acceptance of the patient. It encourages the patient to accept themselves back and try to see the positive in them and stop blaming themselves about the past. The cognitive behavior therapy, on the other hand, is more concerned about the self-esteem of the patient (Szentagotai, David, Lupu, & Cosman, 2008). 

The philosophy: the rational emotive behavior therapy earns more credit because it concerns in digging deeper into the philosophic causes of stress and try to encourage the patient to focus on the positive and wipe out the negative from their minds. Cognitive behavior therapy is attached more importance in the future of the patient rather than the cause of the problem. The therapy builds the self-esteem of the patient through encouragement and giving them the hope of a better future.

Solution approach: while the rational emotive behavior therapy approaches the problem from the past point of view and tries to educate the patient on the importance of viewing the positive side of the problem than focusing on the negative. The cognitive behavior therapy, on the other hand, approaches it from the current point of the situation and start tech the patient to attach value on themselves.

The recommended therapy

The cognitive behavior model is the best therapy to be recommended for a client. I will base my decision on various factors implying that this type of therapy is superior. The philosophical approach to the problem in this therapy is realistic since it considers the personality of the patient as the main source of the solution (Dobson, & Dozois, (Eds.), 2019). The therapy educates the patient on their own importance as compared to the issue which is a mere episode in their lives. The therapy also has more persuasive techniques that can be used to convince a patient to transform their thinking. 

References

Dobson, K. S., & Dozois, D. J. (Eds.). (2019). Handbook of cognitive-behavioral therapies. Guilford Publications.

Ellis, A. (2013). Better, deeper and more enduring brief therapy: The rational emotive behavior therapy approach. Routledge.

Szentagotai, A., David, D., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy versus cognitive therapy versus pharmacotherapy in the treatment of major depressive disorder: Mechanisms of change analysis. Psychotherapy: Theory, Research, Practice, Training, 45(4), 523.

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a specific bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

https://www.congress.gov/

https://www.house.gov/

https://www.senate.gov/

http://www.senate.gov/senators/leadership.htm

The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

-Determine the legislative intent of the bill you have reviewed.

-Identify the proponents/opponents of the bill.

-Identify the target populations addressed by the bill.

-Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

-Advocate a position for the bill you selected and write testimony in support of your position.

-Describe how you would address the opponent to your position. Be specific and provide examples.

Use in text citations. References last 5 years and scholarly. APA format

Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

In a 3-page paper, address the following:

• Summarize the key points of both structural family therapy and strategic family therapy.
• Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
• Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
• Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

pls use this references

Vetere, A. (2001). Therapy matters: Structural family therapy. Child Psychology & Psychiatry Review, 6(3), 133–139. Retrieved from http://www.iupui.edu/~mswd/D642/multimedia/word_doc/StructuralFamilyTherapy_Vetare.pdf

https://www.therapistaid.com/therapy-guide/genograms ( to do this Provide an example of a family in your practicum using a structural family map.)

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.

• Chapter 4, “Bowen Family Systems Therapy” (pp. 56-71)
• Chapter 5, “Strategic Family Therapy” (pp. 72-88)
• Chapter 6, “Structural Family Therapy” (pp. 89-104

and any other references selected 

The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

       Advocacy is one of the best tools that nurses can use to advancing the nursing field. Improve the nursing field means better patient outcomes. therefore, nurses must advocate in their workplaces and particularly in actively participating in government actions that change the health platform. Those actions include healthcare reforms that look for a better quality of care, access the healthcare, and healthcare cost-effective. The American Nurse Association provide tools to nurses that allow them to integrate advocacy committee to be able to work with the legislative branch of federal level as well as the state level (ANA, n.d.). in taking advantage of the advocacy committees, nurses can take many actions to improve healthcare trough legislation at both states and federal level.
Through the political action committee provided by the American Nurse Association, nurses can present themselves as candidates to represent the healthcare professional in capitol hill and other legislative activities at the state level. In doing so, nurse leaders will have the opportunity to raise their voices in policymaking, particularly within the legislative and regulatory arenas. They will bring their concerns about the nursing workforce and health disparities, which are examples of policies established in law. Their interventions are very important because health care policy is constantly changing; and nurses must always be part of the change analyst team to advocate not only their scope of practice but also the patient right to have access to health care and to receive excellent quality of care (Schaeffer & Haebler, 2019).
Nurses may use their researches and communicate with their concerns to their local government. As an example, a bill was taken in the state of Florida that authorizes qualified providers to collect medicine that was available in hospitals and other healthcare facilities. Still, those who had the prescription could not use it. Those medicines were ordered to serve homeless and other uninsured patients who cannot afford their medicine cost. Even though the senate’s health committee introduced the bill, nurses had to analyze the proposition and look if the patient’s right was considered and the consequences on patient outcomes.
In summary, there are many ways a nurse can intervene to advocate for better quality and access to healthcare. The patient center care should be the primary concern of the health care professional. Nurses may use the Association of American Nurses’ possibilities to get to federal and state legislators to bring their voices to health committees. Their concern must be affordable health care, improve healthcare access, improve quality of care, and improve the regulation of their scope of practice. When nurses are working closer to the governments, they can advocate for patient care and establish better means for improving the health care system. Nurse leaders should always think of how to make s difference in the quality of care that all patients deserve. That is why I plan to advocate not only in searching for issues that are raised in workplaces but also those that are in the laws to make a difference in patient care outcomes.

References
American Nurses Association. (n.d.). Advocacy, retrieved from https://www.nursingworld.org/practice-policy/advocacy/
Schaeffer, R., Haebler, J. (2019) Nurse Leaders: extending your policy influence. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1541461219301491