Maintaining confidentiality is critical in counseling

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Maintaining confidentiality is critical in counseling clients (Pomeroy, 2014). This can be a big challenge when providing telehealth services. As a counselor how can confidentiality be maintained when providing service via telehealth?

Confidentiality is an important aspect of counseling. This means that under normal circumstances no one outside the Counseling Center is given any information — even the fact that you have been here — without your expressed written consent.

How do you maintain confidentiality in Counselling?
To maintain confidentiality, it is the counselor’s responsibility to keep the client’s records safe and appropriately secured. Records should be locked away where only the counselor can reach them. Protect records at home. It is important that you lock away documents at home as well as at the office.

Describe a psychological health disparity among different ethnic minority groups

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Describe a psychological health disparity among different ethnic minority groups. You can opt to examine a psychological disparity based on gender, sexuality, age, or nationality. Provide one example from the textbook here.

Don’t just say it is an example, tell the reader how your example illustrates a psychological health disparity by discussing how the prevalence of the disorder differs among groups, how the consequences of the disorder may differ among groups, or how access to treatment differs among groups.

 

B.  Provide a second example from any of supplementary sources listed above.

Again, don’t just say it is an example, tell the reader how your example illustrates a psychological health disparity by discussing how the prevalence of the disorder differs among groups, how the consequences of the disorder may differ among groups,  or how access to treatment differs among groups.

For example, children whose parents are seeking asylum are experiencing nationality/immigrant status as a system of inequality whereby they are automatically separated at the southern U.S. border.

What are the psychological consequences on children or entire families of this separation? From where do you derive your answers?

Explaining the Consequence-Intentionality Fallacy

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Explaining the Consequence-Intentionality Fallacy with the use of an example. Would it be like I wanted to buy my husband a new watch but I didn’t have any money, so I gambled the house payment to buy the watch, and I lost?   would that be a good example?

What actions can be taken to avoid logical fallacies?
Do not: use false, fabricated, misrepresented, distorted or irrelevant evidence to support arguments or claims. intentionally use unsupported, misleading, or illogical reasoning. represent yourself as informed or an “expert” on a subject when you are not.
What are some real life examples of fallacies?
Example: “People have been trying for centuries to prove that God exists. But no one has yet been able to prove it. Therefore, God does not exist.” Here’s an opposing argument that commits the same fallacy: “People have been trying for years to prove that God does not exist.

Sources of information about healthcare trends

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Research news and other sources of information about healthcare trends in the United States. Describe one trend and at least 3 implications the trend could have for financial planning within a healthcare organization, such as a hospital or clinic.

include why the trend could have these implications. Support with research and cited statements.

Study of risk factors for lung cancer

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A longitudinal epidemiological study of risk factors for lung cancer was conducted. 500 smokers who smoked a pack of cigarettes for more than 30 years developed lung cancer, while 14,500 smokers did not develop lung cancer. In the same study, 50 cases of lung cancer occurred among people who never smoked. The remaining 29,950 who never smoked did not develop lung cancer.

 

What is the prevalence of lung cancer in the study?

a.    3.3%
b.    1.2%
c.    0.18%
d.    0.48%

Mental health in the workplace

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Discuss how you might start to evaluate the issue(mental health in the workplace) in order to start addressing it. If you were to develop a study to address this issue, what type of study would you propose (qualitative or quantitative) and what study method would you use? Be sure to provide a rationale for your choices.

Which of the following is a benefit of electronic health records?  

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Which of the following is a benefit of electronic health records?  (select all that apply, e.g. there may be more than one correct answer to this question):

Group of answer choices

Reduces healthcare provider “burnout”

Electronic medical records can be backed up offsite in the event of a natural disaster

Electronic medical records can be accessed by more than one provider at a time

Electronic medical records can be accessed from off-site

2)Healthcare providers who use electronic health records (EHRs) should practice procedures to prepare for

Group of answer choices

Natural disasters

 

Cyberattacks

 

Scheduled downtime

 

All of the above

 

3)In order to establish successful health information exchange, a community should attempt to engage multiple key stakeholders and address the financial sustainability of the business model.

Group of answer choices

True

 

False

 

 

Briefly describe the burden of non-communicable diseases

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  1. Briefly describe the burden of non-communicable diseases (NCD) on mortality and morbidity in the United States currently.
  2. What are the necessary criteria needed for a sound screening program?
  3. Identify an NCD and research and discuss the programs available in Connecticut to address the NCD.  This information can be found on the CT Department of Public Health website: www.ct.gov/dph  (Hint: go to the sidebar of the site’s Homepage and click on “Topics A- Z”.)  Be sure to discuss the multiple risk factor intervention approach in regard to non-communicable disease management and its impacts on cost effectiveness.

 

 

Cognitively impaired elder assessment

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Cognitively impaired elder assessment. The registered nurse reports that when the nurse aids attempts to get him out of bed, he actively resists and strikes out. He also screams when being showered, especially when his lower extremities are washed, and when being dressed. He has been moved to a private room in the facility due to his behavioral changes disturbing his roommate. The registered nurse reports that he has a large ulcer on the medial aspect of his left foot as well as a small ulcer on the malleolus. His right heel is reddened and soft to the touch. The patient’s daughter is present at the meeting and asks the registered nurse whether she thinks her father is in pain. The registered nurse responds that she attempted to administer the pain scale but that he was not able to respond.

  1. Do you think this resident is in pain? What signs is he exhibiting that make you draw that conclusion?
  2. What is the best way of assessing pain in a cognitively impaired elder?
  3. What interventions can be instituted to improve his comfort?

Pediatric primary care

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Aiden is a 13-year-old white male seen in pediatric primary care for concerns regarding behavior. Mom states she “doesn’t know what to do anymore”. Aiden is failing all of his classes with the exception of gym and music. Aiden does well on test scores but does not turn in homework, even after he has completed it. Mom created a binder for him to organize all of his work in, and he has an assignment notebook where he is supposed to write down his assignments. He doesn’t often use the notebook and uses the binder properly about 50% of the time. Aiden is in 7th grade and at risk of not being able to stay in his school next year for 8th grade. Aiden is a very 13-year-old, and her mom says his teachers feel that way as well. Aiden has stayed on the same low dose of Focalin XR 10mg for 4 years, and one low dose, short-acting Adderall 5mg for homework in the evenings. Aiden expresses an increase in anxiety. Mom states that his parents separated 2 years ago, but are now in the process of selling the house Aiden has lived in for most of his life and she is concerned that this is contributing to his anxiety/decrease in school performance.

 

Vitals:

HR: 85      BP: 106/68    T: 97.9    RR: 17   SPO2: 99%    H: 59.5″ W: 105lbs 3oz

PMH:

Eczema, ADHD, Anxiety, Reactive Airway Disease, Seasonal Allergies

 

PSH:

None

 

Medications:

Focalin XR 10mg

Adderall 5mg PRN

Albuterol PRN

Claritin PRN

 

Social History:

Lives with mom part-time and dad part-time. Has two sisters, ages 10 and 5. 2 dogs at home. Plays soccer during the spring and summer, but otherwise no interest in sports. Active in the school band. Reports few close friends.

 

ROS:

General: Well Appearing, no acute stress noted. Denies fever, weight loss/gain, change in activity level.

Neuro: Denies HA, trauma, LOC, seizure activity, developmental delays

HEENT: Denies change in vision, hearing, photo/phonophobia, runny nose, ear pain,

sore throat, neck pain

CV: Denies shortness of breath, sweating, color changes with feeding, chest pain,

palpitations, recent history of murmur, fainting, or dizziness with activity

Respiratory: Denies cough, wheezing, shortness of breath (triggers)

GI: +Constipation; Denies nausea, vomiting (bloody/bilious), diarrhea, hematemesis,

hematochezia, or melena; describe stooling habits

GU: Denies ysuria, frequency, urgency, hematuria,  sexual activity, STI

exposure

Endo: Denies olyuria/polydipsia, heat/cold intolerance, growth pattern

MS: Denies myalgias, arthralgias, trauma, limp, weakness

Skin: Denies Rashes, bruising, petechiae

Psych/behavior: +Decreased attention span, +decreased energy level, +GAD7, +PSQ9