Respond to  your  colleagues by recommending strategies to overcome the challenges your  colleagues have identified. Support your recommendation with  evidence-based literature and/or your own experiences with clients. 

                                                 Main Post

Cognitive  behavior therapy involves talk therapy and has proven to be an  effective approach to deal with various issues related to for example  mental issues. Cognitive behavior therapy is different in group and  family settings. In groups, more than one patient is involved for  treatment and they usually not related (Fehr, 2014). Group  psychotherapy helps people who would like to improve their ability to  cope with problems. While in individual therapy the therapist meets with  only the patients and families, in group therapy the meeting is with a  whole group and one or more therapists. Group therapy helps people learn  about themselves and improve their interpersonal relationships.  In such context various therapeutic factors are offered which include  the development of socialization techniques, imparting information,  altruism, imitative behavior, universality, instillation of hope, among  others. The therapy is effective in addressing such issues as  depression, obesity, panic, work in specific populations, and eating  disorders. However, cooperation becomes an issue and the individuals may  quit. In family settings, individuals that are closely related come  together for treatment and support (Dattilio, & Epstein, 2016). This  may involve the family members supporting. In search context  communication skill and collaboration becomes effective. Also,  confidence is built while at the same time improving cohesion and  support. 

An  example of group therapy was seen when a group of people with different  goals and issues came together for training and the approaches used  were different from those in family settings. Group therapy can benefit  many different people, from those having difficulties with interpersonal  relationships as adolescents with self-esteem problem and depression,  for example, group therapy teaches socialization skills needed to help  function in environments outside the home. Several teens slide into  isolation and loneliness due to their emotional and social issues. Group  therapy activities are designed to help them realize that they are not  alone in facing these challenges. Besides, it helps them realize the  value of emotional support that facilitates healing. Mindful speaking is  a great therapeutic activity that focuses on communication and  mindfulness in participants. These two skills are essential for the  management of emotions in teens. This activity allows team members to  know each other’s strengths and ways to inculcate them. Positive  responses from each other will also help them heal. Another example is  seen from a single parent who supported his son who had a separation  anxiety disorder. through the proper training of the boy and the parent,  they obtained positive outcomes.

Some  of the challenges that may be encountered include lack of cohesion due  to limited engagement and even collaboration. This challenge is often  common in most group therapies due to differences among the members and  leadership related issues. There is also the difficulty in meeting the  intended goals due to the complexity of schedules and the issues to be  addressed. This is associated with time clashes among the individuals  and the varying degrees of issues among the individuals.  An example was  seen when a 21 male participant refused to engage in a group session  because he did not feel safe sharing any information with other  strangers. This further resulted in extending the session as more time  was spent in trying to make the participant more comfortable.  Group  therapy offers the opportunity to both receive support from others and  to give support to others. Both of these notions are important in  treatment. Receiving support from others is part of the bonding or  therapeutic alliance that occurs in groups, whereas giving support to  others allows for growth and learning.Group therapy provides a broad safety net for individuals who may otherwise be hesitant to discuss their feelings.

                                            References 

Dattilio, F. M., & Epstein, N. B. (2016). The cognitive-behavioral couple and family therapy.

Fehr, S. S. (2014). Introduction to group therapy: A practical guide (2nd ed.). Routledge.

Sage  publishing. (2020). Case studies | Online resources. Retrieved from  https://study.sagepub.com/cac7/student-resources/chapter-6/case-studies

Scheid  linger, S. (1955). The concept of identification in group  psychotherapy. American Journal of Group Psychotherapy, 9, 661-672.

Reply to  a peer sustained with the proper evidence-based references are required. At least 2 references no older than 5 years.

APA Style,,,4 paragraphs. No plagiarism  please.

Refer to the attached peer discussion.

Create a power point presentation based on the main topics of the following paper.

Power point has to be 14 slides plus the cover page and the reference page.

 74-year-old male with a history of hypertension and smoking is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, the patient‘s blood pressure was 178/94, pulse 78, and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left-arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact. 

Explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

 Describe a time when you learned not to judge a book by its cover similar to the one I told the class in Week 2.   

Hello,

Please, the previous sentence is figuratively speaking, it really serves as a guide to making a paragraph of some experience we have had with someone and helps you not to judge someone by their appearance. The speech will be for two minutes.

Discussion Prompt  

Why is public health infrastructure important? Does the US have a solid infrastructure, why or why not? 

-Apa style

-references

What are your thoughts 

Elimination complexities consist of the renal, pancreatic, hepatic, biliary and gastrointestinal systems within the body (Whitney, 2018). As one ages, there are normal age-related changes that occur that can affect an individual such as changes in kidney size, decrease in muscle tone of the bladder which can cause urinary retention, frequency and urgency. Other normal age-related changes include dry mouth, difficulty swallowing, slower gastrointestinal mobility which can lead to constipation and also decrease in appetite from decrease in sense and taste of food (Whitney, 2018). There are abnormal problems that can occur such as renal failure, benign prostatic hyperplasia, hepatitis, cholelithiasis, hernias, appendicitis, GI bleeding and GERD (Whitney, 2018).

These elimination complexities can affect daily routines, normalcy and ability to function throughout the day. Urinary frequency and urgency can cause accidents to occur which can lead to embarrassment that they could not make it to the bathroom in time. Constipation can lead to straining when having a bowel movement in turn possible discomfort and hemorrhoids. Decreased appetite can contribute to unneeded or necessary weight loss and cause potentially anorexia of the body and different muscles in the body such as the heart. Other problems can lead to discomfort in daily life and pain until medically treated. Nurse’s play an important role in providing support to the patient’s psychological and emotional needs. Nurses must first assess the situation appropriately and ensure that they are advocating for the patient’s well-being. A major part of nursing is to assist with preventing further deterioration and ensuring continued independence in patient’s lives. An example of preventing further deterioration is education on follow up care and regimens. If the patient is unaware of the medications to take, how to proceed with activity and diet plan and any other outside resources they can be unsuccessful. Therefore, nursing education plays an important role in assisting these individuals and promoting their independence.

Write 1-2 pages discussion.

Please see the attachment!

Explain communication between Jewish Americans population and how does it affect your nursing practice?. Minimum of 230 words.

Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, Africanamericans and Prostate Cancer,etc).

This an example of an student Posting:

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

Reference

U.S. Department of Health and Human Services. Health Promotion. Retrieved 20 March 2020, from https://www.ihs.gov/communityhealth/hpdp/