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{"id":80628,"date":"2023-05-18T11:05:34","date_gmt":"2023-05-18T11:05:34","guid":{"rendered":"https:\/\/nursingwritersbureau.com\/?p=80628"},"modified":"2023-05-18T11:05:34","modified_gmt":"2023-05-18T11:05:34","slug":"psychology-chronic-illness-a4","status":"publish","type":"post","link":"https:\/\/nursingwritersbureau.com\/psychology-chronic-illness-a4\/","title":{"rendered":"Psychology Chronic Illness-A4"},"content":{"rendered":"Vignette Analysis IThis \u00a0assignment focuses on vignette analysis and direct application of \u00a0course concepts to the persons and situations presented in the vignette \u00a0for each question. All discussions must take into account the legal and \u00a0ethical considerations, as well as issues of culture and human diversity \u00a0that may pertain to the situations presented below.Use the reading assignments thoroughly in an integrative discussion. \u00a0Remember to reference all work cited or quoted by the text authors. You \u00a0should be doing this often in your responsesPlease keep your responses focused on what is presented in the vignette. \u00a0Do not add information but use your creativity to support what you see \u00a0in the vignette as written. Avoid elaborations and assumptions. This \u00a0assignment MUST be typed, double-spaced, in APA style, and must be \u00a0written in graduate level English.Your assignment should be 3-4 pages in lengthper vignettePLUS a title and reference pageVignette One (3-4 page response)Janie \u00a0is a 42-year-old African American, wife of Jake, and mother of \u00a012-year-old Stacy. Once a vibrant business office manager, Janie is now \u00a0on disability and rarely leaves the house. \u00a0She was diagnosed with major \u00a0depressive disorder at age 20 when she reported feelings of \u00a0worthlessness, fatigue, insomnia, and loss of concentration to doctor at \u00a0her college health services. Janie stated that she had felt \u201cblue and \u00a0emotionally needy.\u201d She had a relationship with a guy who \u201cdeceived me \u00a0and physically and emotionally abused me for two years. I lost interest \u00a0and respect for myself and others.\u201d She was prescribed an antidepressant \u00a0medication and referred to a counselor and support group.Janie\u2019s \u00a0therapist stated that Janie\u2019s depression is a chronic condition and \u00a0Janie is at risk for recurrent episodes of depression. She asked Janie \u00a0to identity triggers that might precipitate those episodes. Janie stated \u00a0these triggers: (1) fear that I might return to my \u201clowest low\u201d \u00a0depression state, (2) anxiety that I want to spare my daughter the pains \u00a0that I have endured, (3) periodic \u201csense of dread\u201d for Stacy\u2019s future \u00a0in an uncertain world, and (4) wonder about what my \u201chormonal change\u201d \u00a0menopause will look like.How \u00a0would you apply the \u201cimpaired-at-risk role\u201d to Janie\u2019s situation and \u00a0chronic condition?\u00a0\u00a0Illness behavior is shaped by sociocultural and \u00a0social-psychologic factors. What are demographic and past experiences \u00a0that shape Janie\u2019s illness behaviors? What are some examples of Janie\u2019s \u00a0statements to support your responses?Caring \u00a0for a client with chronic illness requires a framework or model for \u00a0practice that differs from that of caring for those with acute, episodic \u00a0disease. Illness frameworks and models address the illness experience \u00a0of the individual and family that occurs as a result of changing health \u00a0status. How can you use the chronic illness and quality of life, the \u00a0trajectory framework, and the shifting perspectives model of chronic \u00a0illness with Janie and her family?Chronic \u00a0illness is fraught with unpredictable dilemmas. Dependency in chronic \u00a0illness may link with a sense of powerlessness. How can you incorporate \u00a0strategies to decrease Janie\u2019s\/her family\u2019s feelings of powerlessness? \u00a0How do you think that Janie would describe self-management? How can her \u00a0healthcare team foster Janie\u2019s sense of order and other themes \u00a0associated with self-management?Vignette Two (3-4 page response)Tom \u00a0is a 62-year-old Italian-American man who was diagnosed with Diabetes \u00a0Mellitus Type II about 10 years ago. He has chosen to live with little \u00a0diet control, weight gain, weekly elevated blood sugars of over 300, \u00a0sedentary lifestyle, and non-adherence to prescribed diabetes \u00a0medications. He freely admits that this disease \u201cgets in the way of my \u00a0life.\u201d \u201cI like to eat whenever and whatever I please, especially while I \u00a0watch TV. You know, finger-sticks and doctors\u2019 visits are not in my \u00a0game plan. Maybe all of that later.\u201d Tom now faces increasing blood \u00a0pressure, increasing vision problems, unrelenting skin ulcers that will \u00a0not heal, and insulin therapy. His wife, Gilda, describes Tom as, \u201che\u2019s \u00a0always been self-indulgent and does what he wants regardless of the \u00a0consequences. When we first met, he was smoking marijuana daily, but he \u00a0grew out of that\u201d.\u00a0 Gilda does not understand Tom\u2019s decisions and says, \u00a0\u201cIf I had diabetes, I\u2019d take care of myself by eating well, exercising, \u00a0and taking my medicines.\u201dUse \u00a0Stanton and Revenson\u2019s five attributes of adjustment to conceptualize \u00a0adjustment for Tom and his family.\u00a0\u00a0Discuss Engel\u2019s Biopsychosocial \u00a0Model in regard to Tom\u2019s situation.Coping \u00a0is a complex, multidimensional process. It is sensitive both to the \u00a0environment and its demands and resources, to personality traits that \u00a0influence the appraisal of stress (such as a chronic illness), and to \u00a0resources for coping. Project how Tom, his family, and his support \u00a0systems might use 4 of the 8 categories of coping skills that Moos and \u00a0Holahan identify.Perhaps \u00a0a blend of cognitive-behavioral, self-management, emotional \u00a0intelligence, and self-help\/support strategies\u00a0might be helpful to the \u00a0client and family\u2019s adjustment\/adaptation. How might you facilitate \u00a0Tom\u2019s cognitive processing of the implications and meaning of his \u00a0condition(s)? Describe two interventions to address Tom\u2019s coping \u00a0effectiveness, individual-level change, self-efficacy, self-management, \u00a0and decision-making. Suggest interventions to bridge the gap between Tom \u00a0and Gilda\u2019s thinking and approaches to adjustment\/adaptation of living \u00a0with Diabetes Mellitus Type II.Reference:Larsen, P.D., Whitney, F.W. \u00a0\u00a0 (2016). \u00a0 Chronic Illness: Impact and Intervention. \u00a0 (9th edition). \u00a0 Burlington, MA \u00a0 Jones & Bartlett Learning. \u00a0 \u00a0\u00a0ISBN: 978-1284049008VideoAcceptance and Commitment Therapy: Addressing Chronic Illness with Steven C. Hayes, Ph.D. \u00a0 https:\/\/www.youtube.com\/watch?v=1KA0JjkB10kVideoDr Mark Morningstar – Chronic Pain – Auto Immune Disorders 2 of 6. \u00a0 https:\/\/www.youtube.com\/watch?v=LX89LfDKncAVideoDr Mark Morningstar Chronic Pain- Failed Back Surgery 6 of 6. \u00a0 https:\/\/www.youtube.com\/watch?v=EzogsQy1Z_IVideoDr Mark Morningstar Chronic Pain- Fibromyalgia- 5 of 6. \u00a0 https:\/\/www.youtube.com\/watch?v=MTPKEvD304sVideoDr Mark Morningstar- Chronic Pain- Lyme Disease 4 of 6. \u00a0 https:\/\/www.youtube.com\/watch?v=BKdfDEQ2TJMVideoDr Mark Morningstar Chronic Pain Workshop- Sources Of Pain 1of 6. \u00a0 https:\/\/www.youtube.com\/watch?v=GNNrAN_0F60VideoDr Morninstar Chronic Pain Workshop-Heavy Metal and Chemical Toxicity 3 of 6. \u00a0 https:\/\/www.youtube.com\/watch?v=KKmRMVzM8ccVideoHow to Live With a Chronic Illness. \u00a0 https:\/\/www.youtube.com\/watch?v=DYnUaX67VbUVideoJon Kabat-Zinn – “The Healing Power of Mindfulness”. \u00a0 https:\/\/www.youtube.com\/watch?v=_If4a-gHg_I<\/p>\n \n
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