COMMENT 1  (150 WORDS)
2 DQ 1

Child abuse is a worldwide problem that affects children of all age group. According to the American Academy of Pediatrics (AAP) 2018, most cases of child abuse in the pre school age group are neglect, followed by physical and sexual abuse. Some children may be affected by a combination, meaning that a child might be victim of both physical and neglect at the same time. Sexual abuse may include fondling, genital and anal intercourse or oro- genital contact, (AAA 2018). Neglect may include failure to provide food, shelter, clothing, inadequate health care or even emotional support to the child. Physical abuse may include injuries resulting from the child being hit, burnt or any other physical activity that results in injury to the child, (AAP 2018).

Some warning signs may include the care giver delay in seeking medical care for an injured child, or showing no concerned for the injuries sustained by the child, burn to the genitalia, bruises to the child’s body, sometimes these are frequent with no explanation as to how the child got the injuries or the explanation is contradictory to the type of injury, (McCalla, G. D., 2018). McCalla 2018 further stated that when a child is observed to be identified with unacceptable behaviors such as undressing in front of others, touching other children’s genitalia or always trying to look at other person undressing, these may be cues to assess for abuse. Signs of neglect may include the child being dirty and unkept, poor hygiene, especially poor dental hygiene with extensive dental caries, the child may be malnourished with them being very small for their age.

There are some cultural variations of health practices that can be mistaken for child abuse. One such practice is moxibustion, which is a cultural healing practice originating in Asian medicine. It involves burning pieces of moxa herb and putting it on the skin above the acupuncture points, until there is pain. This results in small round lesion that may be mistaken for cigarette burns. This practice is used to treat abdominal pain and fever. (McCalla, G. D., 2018).

To report child abuse for the state of Georgia, we should call DFCS Child Protective Service at 1855.GACHILD (422-4453), or E-mail the mandated report to [email protected], or Fax mandated report to 299-317-9663.

Reference

American Academy of Pediatrics, (2018). Child Abuse and Neglect. Retrieved from www.healthychildren.org

Killion, C. (2017). Cultural Healing Practices that Mimic Child Abuse. Retrieved from www.semanticscholar.org

McCalla, G. D., (2018). Child Abuse and Neglect. Retrieved from www.ncbi.nlm.nih.gov

Family and Children Services (n.d.). Child Abuse and Neglect. Retrieved from https://dfcs.georgia.gov/child-abuse-neglect

COMMENT 2 (150 WORD)

Child abuse is defined as “any act or a series of acts of commission or omission by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child” (Falkner, 2018). Child abuse is seen in various stages and can be sexual abuse, physical abuse, psychological abuse or even a combination of both. Cases of child abuse are more rampant in unstable families, where parents are always in constant fights, families that have a parent or both indulging in drugs like alcohol, and other substance abuse. Children of a parent or parents who practice prostitution are also at highest risk because they may tend to lure the child, and especially if female, into practicing the same vice for financial benefits.

School aged children are a good example in child abuse. This affects the children psychologically and always manifests in class performance and behavior. Abused children start performing poorly in class as their grades start dropping as compared to how they used to perform academically. Behaviors will change and they they become withdrawn, overtly aggressive to their peers, they may become bullies because they use this as revenge or getting out the anger in them. Concentration in class dwindles and may want to either come to school early or stay until very late in school just to avoid the situation at home.

Abused children will have medical and or physical problems which are brought to the parent’s attention, but parents will always assume these issues and fail to address them. Physically abused children may have wounds in different healing stages, this may involve burns, bruises, cuts and bites. They will always be afraid and shy away from adults by trying to avoid them. Neglected children may always appear in dirty tattered clothing, undone hair, foul smelling clothes which are not changed, lack of body hygiene, having inappropriate clothing for the weather. They are in constant need of medical attention for different ailments. They would have missed scheduled appointments with the care providers and even miss immunizations. Sexually abused school children may shy away from there peers and avoid changing clothes in the same room with fellow peers, they may have difficulty walking or sitting and they will have sophisticated, bizarre or unusual sexual knowledge with decrease in appetite, ( Childwelfare.gov, 2007). These children may become thieves and keep begging for money and food. As care provers, we should do a thorough assessment and make sure that such cases are reported to the authorities because as much as all these are indicators of abuse, it does not mean that 100% they are.

As care providers, we should also be aware of some cultural practices which may seem as abuse but are culturally considered a normal practice in certain ethnicities. In Africa we have the Sudanese and Kenyan Nilotic who use sharp blades to make patterns on human skin, especially on the face as a sign of beauty and they also make incisions in the abdomen and chest and herbs are burnt over the raw incision areas when someone is sick, or for protection from evil spirits. So, when they come to the hospital, the provider might see this as a sign of abuse, which is not the case to them culturally.

Reporting suspected abuse or neglect in the state of Maine is made to the Maine Office of Child and Family Services at 1-800-452-1999.This is a 24hour service line. One has to state there name and contact information, name of the family you are calling about, physical address, work/ school information for the adults or children in the family, a description of the problem you are concerned about, your knowledge of other risk factors as domestic violence, substance abuse or mental health issues, any relatives or resources you are aware of. One may request for confidentiality or anonymity. Report is recorded and investigated but not all reports are worked upon.

References.

Falkner, A. (2018) Health Assessment: Foundations for Effective Practice retrieved from

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-assessment_foundations-for-effective-practice_1e.php

 Home-Child Welfare Information Gateway (2019) Retrieved from

www.childwelfare.gov

Abuse Reporting -Child Welfare Maine DHHS :OCFS (2019) Retrieved from

https://www.maine.gov/dhhs/ocfs/cw/reporting_abuse.shtml

I need a literature review outline, literature review, and final cumulative paper. My topic is Palliative Care and End of Life with the focus being on the following research questions:

1). How do Social Workers ease the suffering of family members dealing with loved ones under palliative care?

2). What is the best way for social workers to manage psychological disorders for those dealing with end of life care?

I have included attachments for the literature review outline, literature review, and cumulative paper that details what is required. I have also included a template for which all three assignments must be done on. The final project needs to be a minimum of 16 pages. 

I can attach a grading rubric once I can locate it, but I need to get this done in the next 48 hours. 

Discussion: Professional Development and Certification

Consider the following scenario:

Isabel recently earned certifications offered by the American Association of Critical Care Nurses and the American Organization of Nurse Executives for nurse managers and leaders. She was especially proud of this accomplishment and was confident it would serve her well as she continued her career. At a conference last week, she had found herself talking with a colleague about certification. To her surprise, her colleague suggested that she look into certification through the Project Management Institute. It had not occurred to Isabel that she might need or want that type of certification, but upon further reflection she could see how important it was to be able to manage projects effectively. She wondered how pursuing this type of certification might further her professional development and lead to new opportunities down the road. At the very least, she decided it was worth exploring further.

As you are aware, numerous nursing organizations offer opportunities for professional development, community service, and information gathering. There are also many certifications you can obtain through professional societies or organizations. Certifications recognize an individual’s specialty area knowledge and skills and can lead to professional empowerment. By obtaining certifications, you can help improve your quality of practice and increase your earning potential.

In this Discussion, you consider development opportunities afforded through professional associations and examine how earning certifications can advance your career.

To prepare:

Reflect on your professional goals. These goals may relate to the practicum professional development objectives you established in Week 1 (Document Attached), but you are encouraged to take a broader view of what you would like to accomplish in the immediate future, as well as five or 15 years from now. Identify at least one goal that is especially important to you.

Think about the benefits of becoming involved in professional organizations and obtaining certifications.

If you already have a specialty or clinical certification, reflect on how this has impacted the achievement of your professional goals thus far.

Review information about two or more of the professional organizations listed in the Learning Resources. Consider the following questions:

As you explore each organization’s website, review the mission, vision, and value statements. Also examine the strategic plan, if possible. How do these align with your interests and your professional goals?

Investigate whether the organization offers networking opportunities with fellow professionals. Is there a local or regional chapter you could join?

What are the potential benefits of obtaining a certification through each organization? Examine the criteria for certification.

Evaluate your readiness and desire to become certified through each organization. What hesitations, if any, do you have?

How and why might this certification be useful to you and/or enhance your professional development?

Post a description of one or more of your professional goals. Explain a certification provided by a professional organization that would be of interest to you. Explain how and why this additional certification would be useful to you and/or enhance your professional development. Evaluate your readiness to obtain this certification, noting any reservations you may have.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Required Readings (Please use all references mentioned below)

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Reminder: Review resources from previous courses as necessary.

Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1), 1.

Note: Retrieved from the Walden Library databases.

 

The author addresses the importance of involvement in professional organizations for nursing professionals.

Shekleton, M. E., Preston, J. C., & Good, L. E. (2010). Growing leaders in a professional membership organization. Journal of Nursing Management, 18(6), 662–668.

Note: Retrieved from the Walden Library databases.

 

 “In order to grow leaders an organization must make a commitment to develop and maintain an infrastructure that supports leadership development activities” (Shekleton, Preston, & Good, 2010, p. 667). The authors discuss findings from a leadership development program.

 American Association of Critical Care Nurses. (n.d.). Certification for nurse managers and leaders. Retrieved May 20, 2013, from http://www.aacn.org/wd/certifications/content/cnmlhome.pcms?menu=certification

 

The American Association of Critical Care Nurses Certification Corporation, in collaboration with the AONE credentialing center, offers certification for the nurse leader-manager.

 American Medical Informatics Association. (2011). Clinical informatics becomes a board-certified medical subspecialty following ABMS vote. Retrieved from http://www.amia.org/news-and-publications/press-release/ci-is-subspecialty

 

This article addresses the movement to recognize clinical informatics as a subspecialty.

 American Nurses Association. (2013). Leadership. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Leadership

 

The ANA offers a leadership institute for professional development.

 American Nurses Credentialing Center. (2013). ANCC certification center. Retrieved from http://www.nursecredentialing.org/certification.aspx

 

The ANCC is the largest and most prestigious credentialing organization. View the certifications available by specialty area.

 American Organization of Nurse Executives. (2012). AONE credentialing center. Retrieved from http://www.aone.org/resources/certification/about_certifications.shtml

 

The AONE credentialing center, in collaboration with American Association of Critical Care Nurses Certification Corporation, offers certification for the nurse leader-manager.

 Healthcare Information and Management Systems. (2013). Health IT certifications. Retrieved from http://www.himss.org/health-it-certification?navItemNumber=13588

 

The Office of the National Coordinator for Health Information Technology has specified certification criteria for electronic health records.

 NMA. (2012). Welcome to NMA! Retrieved from http://www.nma1.org/

 

This organization promotes the development of leadership competencies and interpersonal skills.

 Project Management Institute. (2013). What are PMI certifications? Retrieved from http://www.pmi.org/Certification/What-are-PMI-Certifications.aspx

 

PMI recognizes that many professionals of varying skill and education levels are or will be involved with projects. The organization offers certification for professionals involved in project management.

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.

Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.

Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.