WK/ PR

PART 1

The different culture of people leads to a change of team performance as some of the members in most of those teams are composed of different cultural background where each of them has to base his/her work as per the history of culture. Again, some of this participants differ in their traits as they may not share the same language and value difference hence fluctuate in their communication (Earley & Mosakowski, 2010). Another idea on which they differ is on their performance on issues of behavior, values and beliefs as some of the members might take duration before emulating some of the merits which may overwhelm their good performance outcome. Critically, conflicts that may arise based on opinions may diminish this team performance and decrease personal and direct process of interaction as each member has its cohesion which gives some of this indifference.

           There are several ways that a person can choose to focus during incorporation of a person who has a different culture in your team. Some of this ways may base on good capture to the essence of that person which is one of integrity that many communities focus as there is a communication barrier. In the same manner, one may feature on core values of that person which are on its beliefs and baseline of behavior and which explicitly define clear how the person behaves after being incorporated into the team. Also focus on customer interaction feedback and response as this issues might embody some of the decline changes which may undermine the manageability of credibility (Niebuhr, 2016). Ideally, if culture and values may not align then this issue can create business performance decline and suffer. It would be of importance to consider the beliefs that our new member in the team follows to make him/her align with the performance of the team.

PART 2

Your comment on the difficulties of communication among a diverse group is a very real issue. The differences in languages, accents and dialects can cause communication difficulties. Often a person from another culture may have communication apprehension. Communication apprehension, is defined as “an individual’s level of fear or anxiety associated with either real or anticipated communication with another person or persons” (McCroskey, 1977, p. 78). The leader’s responsibility in this situation would be to identify ways to help the person feel more comfortable and assisting assimilation into the group. According to Asherman & Bing (2010) ways to assist is to allow individuals who do not speak English as a first language more time to respond to the discussion. Due to communication apprehension, the leader can take written ideas after the meeting to avoid the need for the individual to talk to a group. Also teaching the team to speak distinctly and avoid the use of jargon is helpful. Paraphrasing and summarizing more in meetings will help to identify and clarify any miscommunications. While working with nurses from so many diverse cultures have you seen evidence of communication apprehension? If so, how did nursing leaders respond to communication apprehension? 

no Syria 

Look up the top ten ongoing humanitarian crises around the world.  Select one and write your discussion post on that crisis. 

For example:

One of the major ongoing international crises is the humanitarian  crisis in Yemen that has been fueled by war, political, economic, and  other social upheaval in the region.  The  focus of the assignment is to bring attention to an ongoing crisis that  appears to get little attention in the west but is considered one  of the worst humanitarian crisis in our time. We are concerned about the  humanitarian issues as it relates to the global health related issues. Read  up on current news reports on what is happening in the crisis you  selected.  For example if you selected the Yemen situation you would:

1. Discuss in what ways this complex humanitarian crisis is both a  local and an international event and your views on how various nations  have responded.
2. Look for a publicly available photo that depicts this man-made disaster.  Share the photo and give appropriate credit.
3. Briefly discuss what you think are the most urgent needs of the residents and citizens of nation
4. Do you think adequate attention is being paid to this crisis?  Why or why not?
5. Make an original post (290) that includes the photo, your  commentary on the photo, and that addresses the above questions  at least 2 scholarly references that includes the citation for the  photo. 

 Respond to the post bellow  by comparing your assessment tool to theirs. 

NOTE: my assessment tool: The patient Health Questionnaire (PHQ-9)

                                        Main Post

 For the purpose of this discussion, the assessment tool that shall be  analyzed is the Geriatric Depression Scale. It is important to note that  depression in elderly patients is a common problem and this leads to  significant emotional suffering and loss of quality of life. Depression  in elderly patients also lead to increase in the risk of physical  inactivity as well as disability. As elderly persons grow older an get  to the age of 80 and above, depression becomes prevalent especially if  they live in nursing homes or if they suffer from dementia (Conradsson,  Rosendahl, Littbrand, Gustafson, Olofsson & Lovheim, 2013).  Unfortunately, regardless of the fast that depression is more common  than dementia in old age, it remains underdiagnosed and undertreated  (Allan, Valkanova & Ebmeier, 2014). It is because of this that there  is need to have a proper tool for diagnosing depression in geriatric  patients. The tool should be effective in regard to the assessment  process and help in the evaluation of treatment in order to monitor  progress. One such tool is the Geriatric Depression Scale.

   The Geriatric Depression Scale is a tool that is used to assess elderly  patients with a view of establishing whether they are depressed. The  tool was developed by Yesavage et al. in 1983. At the time it was  established, it had 30 items. However, 30 items were found to be too  many to be effective. The items made the tool time consuming for both  elderly patients as well as clinicians. This necessitated the  formulation of the GDS-15 which is said to be effective in diagnosing  depression in elderly patients (Durmaz, Soysal, Ellidokuz & Isik,  2018). The effectiveness of this tool has been researched widely and  scholars have established that it is not only effective in diagnosing  depression in elderly patients, but it also has a significant  correlation with DSM-5 criteria in patients that have depression  (Durmaz, Soysal, Ellidokuz & Isik, 2018).

   Psychometric properties mean that a tool is valid and reliable. It  means that it has to be accurate in assessing what it is meant to  assess, and it should also be consistent in providing results (Asunta,  Viholainen, Ahonen & Rintala, 2019). The psychometric properties of  the GDS-15 has been assessed in different studies. In fact, in one  study, these properties were assessed in regard to different elderly  populations including those that are cognitively intact, those that are  functionally impaired and primary care elderly patients that are  community dwelling. The study established that the tool’s internal  consistency reliability was moderate but acceptable. There was construct  validity in the tool’s ability to measure depressed mood, suicidal  ideation and life satisfaction. The ability of the tool to show the  difference between patients that were depressed and those that were not  depressed showed acceptable specificity and sensitivity. However, when  it came to suicide attempt status, the scale showed significant  weakness.  In conclusion, the scholars pointed out that in all the  geriatric populations that were included in the study, the scale showed  impressive psychometric properties (Friedman, Heisel & Delavan,  2005).

  This  scale basically has 15 questions. They are easy to understand and  answer for elderly patients. They all have yes or no answers. 10  questions have to be answered as Yes to attract a point and 5 questions  have to be answered as No to attract a point.  A score below 4 is  normal. A scale between 5-8 is mild depression. A score of 9-11 show  moderate depression and a scale between 12-15 indicates severe  depression. This is an assessment tool that should be applied in all  geriatric patients and especially those that are not cognitively  impaired. Since the scale can be adjusted depending on what the patient  feels, it means that it can be used in the assessment of the  effectiveness of a psychopharmacological therapy in patients.

                                              References

Allan,  C. E., Valkanova, V., & Ebmeier, K. P. (2014). Depression in older  people is underdiagnosed. The Practitioner, 258(1771), 19-22

Asunta,  P., Viholainen, H., Ahonen, T., & Rintala, P. (2019). Psychometric  properties of observational tools for identifying motor difficulties–a  systematic review. BMC pediatrics, 19(1), 322

Conradsson,  M., Rosendahl, E., Littbrand, H., Gustafson, Y., Olofsson, B., &  Lövheim, H. (2013). Usefulness of the Geriatric Depression Scale 15-item  version among very old people with and without cognitive  impairment. Aging & mental health, 17(5), 638-645

Durmaz,  B., Soysal, P., Ellidokuz, H., & Isik, A. T. (2018). Validity and  reliability of geriatric depression scale-15 (short form) in Turkish  older adults. Northern clinics of Istanbul, 5(3), 216

Friedman, B., Heisel, M. J., & Delavan, R. L. (2005). Psychometric properties of the 15‐item geriatric depression scale in functionally impaired, cognitively intact, community‐dwelling elderly primary care patients. Journal of the American Geriatrics Society, 53(9), 1570-1576

Question 1. 

Present a basic case in which an individual would wish to change a long-term health behavior? For example, a 39-year-old female wishes to stop her two-pack-a-day smoking habit which she has had for 10 years. Using various models and theories of behavioral change help create strategies for modifying the patient’s behaviors. Explain the process/methods that could be used to accomplish this goal. Predict how long this may take and what challenges may present themselves? Review three peers’ postings and provide constructive feedback on additional changes which could be beneficial as well as additional insight.

Please provide APA intext citations and references

Question 2.

Why is health promotion/education such an important component to behavioral change? Why do you think behavioral change is so difficult for an individual?

Please provide APA intext citations and references

 Hi dear,

can help me to finish this assignment with good quality and be on time please?

Answer the following: for each Discussion and Initial response must be a minimum of 200 words or more. You must cite referenced answers with reading citations, with page numbers, parenthetical style (Author, Date: page#), and the source listed APA style at the end of the post. 

Discussion 1

Access: https://www.healthypeople.gov/2020/topics-objectives/topic/injury-and-violence-prevention/objectives

1. Using the website, pick one of the objectives.

2. Share with the class the goal of your chosen objective.

3. Share your opinion whether there is a chance that the goal will be met?

4. Is the goal too ambitious and why?

Discussion 2

1. In 2017, there had been catastrophic event that happened such as the 7.1 Earthquake in Mexico 2018 and multiple Category 5 Hurricanes by Florida and Puerto Rico and Wild Fires in California. These natural disasters caused injuries and death to the people that lived in the areas affected. The United States deployed federal workers, first responders, public health workers, volunteers, and military personnel to aid the people that were affected.

2. Based on this scenario, what type of injury or harm can affect the responders who are helping and working in the calamity zone?

3. What type of injury prevention program is needed to protect these workers?

Discussion 3

1. Share an interesting information that you have learned in class related to injury prevention.

2. Why is that information interesting and useful to you?

3. How can you use that information in your life or future career plans?

thanks,