* The first attachment will be the homework

* the second attachment will be the list of industries you will choose ( i want you to pick KPMG Company)

*the third attachment will be example of how to do the hmw

*the forth attachment will be example of how to do it too

 I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

Cognitive Behavioral Therapy (CBT)

The goal of CBT is to identify unhealthy thought patterns which lead to negative emotions and behaviors, when the therapist and client can identify the unhealthy thoughts and impulses we can then begin to reframe and restructure them so that we can have a more positive response to our life stressors. Part of this process involves disproving untrue beliefs about ourselves, Socratic questioning, reattributing blame for the negative assumptions about the stressor, thought stopping, self exploration and cognitive restructuring (Wheeler, 2014). CBT is aimed at changing a pattern of thinking which is irrational in nature and assisting the client to identify the rational and real event or emotion and reduce the emotional response to be more proportionate to what actually happened or is still happening (David, Cotet, Matu, Mogoase & Stefan, 2018). While the approach may differ minimally between family and individual CBT processes, because there will be more persons involved in the family approach, the overall idea is the same: cognitive thought restructuring. 

While traditional CBT practitioners focus on individual interpersonal relationships and subsystems which the client identifies as the main stressor, CBT in families takes a much more thorough approach by identifying negative belief and thought patterns that are reinforced by family members (Nichols & Davis, 2020). Nichols and Davis (2020) also explain that doing CBT with an individual who return home to a family in which reinforces the negative thought and belief patterns about themselves sets the stage for failure for the client. CBT in families and romantic couples shows strong evidence of success and can greatly improve relationship dynamics, interactions, mindfulness of each other’s emotions and have long-term positive outcomes for the family or romantic couple (Nichols & Davis, 2020). 

Practicum Experience

CBT in my practicum experience has been… very interesting. I am doing my clinical hours at a long-term care psychiatric facility, it is much like an AFC home, but it is a 20 bed facility with much more staff and resources than a typical AFC, many of the clients are stepped down there from the state hospital or a long-term hospitalization. A lot of the counseling that my preceptor and I do is helping the residents navigate relationships with their roommates, peers, staff and families in order to prepare them for those interactions in the real world when they are hopefully released to begin their more independent journeys. Counseling two roommates who are struggling to co-exist has a lot of the same hallmarks as couples or family counseling when the clients are living together long-term (at least one year), but with so much acuity and other dynamics in the facility, achieving those cognitive changes can be very challenging when they are immediately disproven by the behavior of other clients on the unit. With one set of roommates in particular, we have been working with them on setting firm boundaries, communicating assertively, helping them to reframe their thoughts and feelings toward each other and identify the positive aspects of their relationship. Achieving these outcomes, especially in clients with serious and persistent mental illness, is very challenging, but because of that heightened challenge comes a lot of reward, as after five weeks now I have slowly begun to see the results of drilling some of these healthy changes into each and every individual and group counseling sessions. I consider it a very good day when we witness a behavior and another client in the facility yells “you need to set better boundaries”! (haha)

Challenges In the Family Setting

CBT in the family setting can be very challenging for the family and for the therapist – the therapist is working to rewire years of taught and learned behavior, evaluate subsystems within the family and address those toxic relationships, evaluating the structure of the family and determining how that affects cognitive thought patterns in the home. Patterson (2014) writes that sometimes in family therapy there is a risk of evaluating cause and effect patterns which may ignore the signs or protection of an actual victim-perpetrator relationship, such as in domestic violence cases, and through the use of a CBT approach increases the likelihood of safety and independence of for the victim of abuse. There are many moving parts and pieces to family CBT and there is a lot of conflict that must be worked through before one can start to change those thought patterns and in-turn their behavior and reactions toward one-another. 

 

A common task in healthcare involves a team assessing how changing regulations, mandates, or market conditions will impact an organization.  At times, the very survival of the entity depends on this analysis.  Each student will be assigned to a team and tasked with working together to develop a presentation on the following topic:

Since the 2016 presidential election, there have been multiple changes to the Patient Protection and Affordable Care Act (ACA).  What are they and how have they impacted healthcare access, cost, and quality?

Questions to be addressed in your research include:

·                  What is the status of those who were newly covered?

·                  What are exchanges and how are different States approaching them?

·                  What does the Medicaid program have to do with the ACA?

·                  How have health insurance premiums been affected?

·                  What variables are in play in the political debate over the impact of the ACA on cost, access, and quality of care?

·                  What are some of the key challenges facing state and national policymakers given the current status?

·                  On balance, has the ACA been a good or bad law?  Provide a clear, fact-based, non-emotional justification for your conclusion.

On balance, is the ACA a good or bad law? Provide a clear, fact-based, non-emotional justification for your conclusion.

Instructions:

Team projects occur in almost all health care worksites. This project encourages student-to-student interaction, the use of technology, and learning. You will be assigned to a team by the beginning of Week 2. 

Your project will take the form of a 10 – 15-minute multimedia presentation. You will publish your presentation to an Internet site (like Google, YouTube or your own website) and post the link to the project in the Group Presentation Assignment folder. Your presentation may contain: a PowerPoint Slideshow, a website, a video… the choice is yours. Be as creative as you can. An associated transcript with all the references is required. 

Here are some suggestions for creating and posting your project:

If you are into videos and YouTube, you likely already know how to create a video and post it to YouTube. Mac computers come with iMovie and PCs come with MovieMaker; both are easy to use tools for editing video. You can use a video camera to record your presentation. You don’t need anything fancy; the webcam on your laptop or even your phone will record video appropriate for this project. You could use a screen capture software to record the screen activities of your laptop. Quicktime Pro and Camtasia are solutions you can use for screen capture. Once downloaded and running on your machine, they allow you to record screen activity and save that recording as a movie file. There are many screen capture options available and some of them are either free or come with a free 30-day trial. Here is a web article that reviews 17 different free solutions for capturing your screen. Recording a video with either a camera or screen capture, then editing it with iMovie or MovieMaker is what I would suggest. 

Another free screen capture program, not listed at the link above, is Easyvid:  http://www.ezvid.com/.  It is well worth a look.

If you are not familiar with any of this, you can use PowerPoint to make a movie. Simply produce a slideshow in PowerPoint and record narration/timing in the slideshow settings. When you save the file, save it “as a movie”. This will create your movie file.

Uploading your presentation to YouTube is also fairly simple. If you do not have a YouTube account, it is free and simple to set up. All you need is an email address. In fact, if you have a Gmail account, you already have a YouTube account. Go to Youtube.com and register for a free account. Once you sign in, there will be an “Upload” button at the center top of your screen. Click upload and locate the movie file you saved. Be sure, in your YouTube settings, to make the movie either “Public” or “Unlisted”… No one but you will be able to see a movie that is set to “Private”. Once the movie is uploaded, navigate to it and copy the link in the address bar. Post the link to your presentation in the Team Presentation folder.

If you have trouble with any of this, there are many videos on YouTube and other tutorials on the Internet that will give you great ideas. Have fun with this assignment and be creative. You are not limited to just making a movie and posting it to YouTube. You may want to try an interesting presentation tool called Prezi. This tool allows you to create very fun, interesting, online presentations. You can even invite collaborators to create your Prezis with you. Check out the site and I encourage you to look for new and different ways to present your ideas. You can give your 10 – 15-minute presentation in any creative way you can think of.

Research different popular nontraditional health care practices. Write a 1,000-1,200-word paper exploring nontraditional health care practices and include the following:

1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
2. Explain the importance of these practices in providing holistic and quality health care.
3. Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Use the data you obtained from the health promotion needs assessment (HPLPII) you did with your older adult in module 2, create a care plan that focuses on the health behavior that needs intervention. only one knowledge deficit diagnosis is required for this care plan. This care plan will identify the health promotion needs intervention that you will develop for the older adul.