The explicitly mishandled tyke in the encourage setting Ebb and flow specialists accept most of kids entering the encourage framework have been damaged physically and sincerely and now require care the cultivate framework was not initially made address[1]. Also, cultivate kids are accounted for to have “three to seven fold the number of intense and unending wellbeing conditions, formative deferrals and passionate modification issues” as their non-encourage peers[2]. The consideration gave in child care is of basic significance, as research underlines the redoing of a connection based relationship, for example, the non-permanent parent-tyke relationship, is the central passionate need during the encourage experience[3]. At the point when a tyke has been explicitly mishandled, the consideration required is of fundamental significance, nonetheless, a cautious and exhaustive evaluation of the youngster is required as youth sexual maltreatment influences various kids totally in an unexpected way, showing a scope of side effects or need thereof[4]. Cicchetti and Toth[5] underscore the individual contrasts that misuse has on people is frequently founded on the kid’s degree of working at the season of the sexual maltreatment, with the end goal that the sexual maltreatment as well as different types of simultaneous youngster misuse will be translated by one tyke uniquely in contrast to another. As the tyke develops, the maltreatment will likewise convey various implications, subsequently Cicchetti and Toth[6] reveal to us that [foster] guardians should promptly adjust to the changing issues the youngster is managing and way in which he/she relates. This paper will show a concise contextual analysis pursued by an examination of the non-permanent parent abilities, characteristics and understanding expected to take part in an association with a youngster who has been explicitly manhandled, basically thinking about moves made with the tyke. For reasons for this paper, the youngster talked about is a juvenile who endured rehashed sexual maltreatment in an intra-familial setting. Issues relating explicitly to newborn children, preschool or more youthful youngsters exploited by sexual maltreatment and put in a child care setting are considered past the present extent of this exposition. Also, issues relating to the legalities certain in a youth sexual maltreatment case, maltreatment by an extra-familial individual or issues relating to kidnapping and brutality executed upon a youngster related to sexual maltreatment are considered past the extent of this exposition. Contextual analysis J is a 14-year-old female who was over and again explicitly mishandled by her progression father from the age of five years. J’s mom was a drunkard and unfit to hold a vocation. J’s progression father compromised that he’d murder her mom and J in the event that she told anybody. J stayed quiet for the initial eight years, showing an assortment of passionate and physical issue that specialists and school authorities put off to formative unsettling influences. At the point when J at last revealed to her mom when she was 13 years of age, her mom said it was on the grounds that J was such a pretty young lady and to simply oblige it on the grounds that all things considered, he accommodated them the sum total of what and they’d be in the city generally. At the point when J was called to the chief’s office for troublesome and forceful conduct towards a kid who made lewd gestures to her in the lobby, J at long last disclosed to her vital what was happening at home and family administration and police authorities were brought in. J was expelled from the home and put in child care. J was 15 when she was put in this present author’s child care. J showed a significant number of the normal idiosyncrasies regular to pre-adult females deceived by intra-familial sexual maltreatment including embracing explicitly wanton and very coy conduct with different guys, participating in self-damaging conduct, for example, cutting combined with removing herself from believing expert figures. Additionally noted by this author were J’s continuous burdensome scenes and influence. It was critical to note, predictable with ebb and flow look into, that the British kid welfare expert more than 66% met current demonstrative criteria for in any event at least one mental disorders[7], stressing that more seasoned people in child care have a higher rate of lifetime and past year mental issue, every now and again beginning preceding the inception of the encourage circumstance. Cultivating J Steady with research by Yancey[8] a fitting blend of tutoring and job displaying for J was an indispensable piece of her cultivating. Job demonstrating does not really require individual association, while coaching likewise incorporates intentional help, direction and a push to help shape the juvenile, as on account of J where she had not built up the suitable abilities with which to climate troublesome periods throughout her life or comprehend what had befallen her in genuine world terms[9] and analyze the aptitudes, characteristics and understanding expected to participate in an association with that kid. J’s cerebrum life structures was adjusted by the dreary maltreatment, representing quite a bit of her downturn and other character disorders[10] through the L-HPA pivot impact[11]. Disclosing this to J in wording she would comprehend was troublesome as she was not obviously trusting of power or parental figures; the data just appeared to fuel her anger at her job of defenseless injured individual and further underscore her very own job in the maltreatment procedure instead of proper position of fault remotely on her progression father. Also, investigate features the tirelessness of wretchedness and other enthusiastic regions of brokenness up to and reaching out past five years following youth sexual abuse[12]. Given the objective of encourage situation as the reunification of the family unit[13] periodic appearance with J’s mom caused more prominent burdensome scenes and increasingly emotional scenes of self-damaging conduct, which is steady with the writing expressing further abuser contact inside five years can be utilized to anticipate more elevated amounts of wretchedness in the mishandled child[14]. Huge tutoring with J concentrated on structure her feeling of confidence and situating her towards recuperating her very own inward harmed tyke, mothering it in manners that were not given to her in her basic early youth years. For instance, it was imperative to enable J to look for arrangements and spotlight on the best way to beat her present issues and for her to concede issues exist with her typical everyday activities. As opposed to sustain her kid’s mind addressing “why” did this transpire, this author needed to pressure that she is in charge of her own contemplations, sentiments and conduct now in her life and as it pushes ahead, that she can develop her own fate, particularly since she is inside long periods of adulthood[15]. It was troublesome clarifying that her explicitly forceful conduct was not viewed as typical, however an effect of her abuse[16] as she kept on looking for the physical closeness with a male as a statement of their affection for her as opposed to just sexual gratification[17], as yet replaying her progression father’s verbal articulations of his adoration for her, how appealing she was, and so on. Given J’s degree of issues with connection connections, it was instrumental working with her originating from the value-based investigation structure underscoring relations needs both current and in the age-old self image, stressing J’s requirement for security and insurance experienced inside a relationship[18]. One of the most troublesome issues in respect to giving consideration to J was to support her duty to positive change, as considered an essential rule of value-based examination based integrative therapy[19] as J exhibited oppositional and disobedient practices all the time. J’s constant conduct issues accentuated the requirement for working with her as a good example and coach instead of being straightforwardly angry with her in regards to her broken conduct or wrong reasoning. This stressed keeping control of J’s life in her grasp, considered by research as basic for overcomers of sexual abuse[20]. Research shows that consolidating treatment in the encourage setting can decrease worry for the tyke and parental figure, increment the advancement of positive connection connections and compares with an expansion in positive conduct change[21]. While the cooperation with J was a positive, but troublesome one, upon reflection, in any case, one noteworthy change would have been to commonly build up J’s objectives for development into an incorporated and unblemished grown-up. This would have set up an establishment and structure for cooperating. List of sources Alfaro, Jose, Fein, Edith, Fine, Paul, Halfon, Neal, Irwin, Martin, Nickman, Steven, Pilowsky, Daniel K., Rosenfeld, Alvin A., Saletsky, Ronald, Simms, Mark D. and Thorpe, Marilyn. Child care: An Update. Diary of the American Academy of Child and Adolescent Psychiatry, 1997. Auslander, Wendy F., McMillen, J. Curtis, Munson, Michelle R., Ollie, Marcia T., Scott, Lionel D., Spitznagel, Edward L. and Zima, Bonnie, T. Commonness of Psychiatric Disorders Among Older Youths in the Foster Care System. Diary of the Academy of Child and Adolescent Psychiatry, 2005. Baird, Frank. A Narrative Context for Conversations with Adult Survivors of Childhood Sexual Abuse. Advancement – Family Systems Research and Therapy, 1996. Dark, James E., Haight, Wendy L. and Kagle, Jill Doner. Understanding and Supporting Parent-Child Relationships during Foster Care Visits: Attachment hypothesis and Research. Social Work, 2003. Chamberlain, Patricia, Fisher, Philip A., Gunnar, Megan R. and Reid, John B. Preventive Intervention for Maltreated Children: Impact on Children’s Behavior, Neuroendocrine Activity, and Foster Parent Functioning. Diary of the American Academy of Child and Adolescent Psychiatry, 2000. Cicchetti, Diane and Toth, Sheree L. A Developmental Psychopathology Perspective on Child Abuse and Neglect. Diary of the American Academy of Child and Adolescent Psychiatry, 1995. Erskine, Richard G. A Gestalt Therapy Approach to Shame and Self-Righteous>

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Prepare a 2-3 page essay on the subject: Combat Leadership versus Garrison Leadership. Include a thesis statement and at least three supporting points of argument. Basic Writing Requirements 1. Typed in MS Word 2. Double-spaced 3. Standard paper format (8.5″ x 11″) 4. 1″ margins on all sides 5. Size 12 pt. Times New Roman font 6. Use flush-left alignment and ragged right; do not divide words at the end of the line. 7. Indent paragraphs 0.5″ 8. Use two spaces at the end of a sentence. 9. Abbreviations: The first time you use a term, spell it out in full, followed by its abbreviation in parentheses; thereafter, you may use the abbreviation only. APA Requirements: Accomplish the following items: 1. Add a Title Page. 2. Add a page header (running head), including page numbers, per Purdue OWL. 3. Conduct research for three different types of sources (book, periodical, Internet, etc.). 4. Add a direct quote of less than 40 words using proper citation. 5. Add a direct quote 40+ words using proper citation. 6. Add a citation for paraphrasing. 7. Add three to four level one headings, including the Conclusion. 8. Prepare a reference page using the three cited references.

Sample Solution

Parkinson’s Disease Case Study Details:

Background

Doug and his wife Maria have three adult children, all of whom are married with young children of their own. Doug works as a regional sales representative for a chemical company that produces plastics, chemicals, and agricultural products. He has been in the position for 15 years, having moved into this job after leaving a different company doing similar work. The job requires him to travel to give demonstrations of the products across a six-state region. This requires him to fly and drive in unfamiliar areas. Maria works as a junior high school principal. Doug and Maria are financially set for retirement at age 65. Overall, they are in good health. At the age of 60, Doug received a diagnosis of Parkinson’s Disease (PD).

Early phase

In the year before his diagnosis, Doug had three minor car accidents while he was traveling in unfamiliar territory. Maria was suspicious that the accidents were related to his PD and, after consulting with the neurologist and Doug, they decided he should no longer travel alone out of his immediate area. After a few months of traveling with a colleague, he reluctantly stepped down to a district sales representative position to stay closer to home. Within the next year, Doug started experiencing exacerbated (worsened) symptoms related to fine motor coordination, changes in speech, as well as anger, anxiety, and depression. The neurologist placed Doug on short-term disability at the age of 61. After six months on short-term disability, the law mandates that the individual must apply for Social Security Disability. Therefore, due to Doug’s health continuing to decline and his inability to return to work, Maria had to file for long-term disability for Doug. At first, Maria attempted to work with Doug to complete the disability paperwork. Doug was easily frustrated with formulating the responses to the questions on the forms; he did not know how to answer the questions nor where to find the information within their household records, so Maria hired a lawyer to complete the paperwork.

Three months after submitting the application, Doug was approved for Social Security Disability Income (SSDI). This was a significant drop in income. Doug’s employment income was twice that of Maria’s; he was bringing home $7500 per month. His SSDI income is $2788 per month. Since Doug left his full-time job, he was no longer eligible for health benefits from his employer. He is not eligible for Medicare under the disability guidelines until two years after payments begin. Maria completed the paperwork to add him to the health insurance through her job, which doubled her monthly contribution to health insurance. The decrease in household income required them to utilize their retirement funds earlier than planned. In addition, Maria knows, as the disease progresses, she may have to make decisions about her own full-time work as a principal, which will further strain their financial situation.

Middle phase

Doug and Maria enjoyed playing Scrabble with their friends Susan and Bob, who lived nearby. The two couples would get together every Saturday for some friendly competition along with dessert and lively discussion. A year after his diagnosis, Doug was exhibiting stooped posture and changes in his speech, which made it difficult to understand what he said. These were clear signs the disease was progressing. In some aspects of his life, he appeared to function well enough, such as easily performing most activities of daily living, but it became clear he struggled with activities in the game of Scrabble. For example, he was having a difficult time creating words from the tiles he chose, where to place them on the board, and he could no longer add up his points correctly. In addition, Doug was embarrassed because he continually knocked tiles out of place on the board, struggled to communicate clearly and interact with friends in a social situation. Doug felt a great deal of shame due to the changes and told Maria that he no longer wanted to participate in the weekly game night. This meant that Doug and Maria had less interaction in their own community and became more socially isolated, which is not uncommon for families with a chronically ill member.

Late phase

Doug was in charge of managing his own medications, which he needs four times a day. One day, about four years after his diagnosis, Maria was away from home at noon when Doug called her to ask what he was supposed to do with the noon pills. “I’m supposed to throw them out, right?” That was an early sign of dementia. It was a signal for Maria that Doug could no longer control his own medications and that he probably shouldn’t be left alone for very long. The incident marked the start of a steep decline in Doug’s cognitive and emotional abilities, and the couple’s relationship changed from one of partners to one of patient and caregiver. Maria relied on their children and other family members to help with Doug’s care, and she began looking for support groups to help her figure out how to handle the deteriorating situation. Even though she had a rotation of helpers, most of the work of Doug’s care was Maria’s responsibility.

Doug’s condition progressed to the point of needing full-time care in a skilled nursing facility a little more than a year later, after he lost the ability to stand up, even with help. He always needed two people to help him, and that just wasn’t possible at home. In addition to the tremendous emotional stress on the family, moving Doug to a skilled nursing facility further increased the financial burden. Maria made the decision to sell the house and move to a small apartment by herself. She had to spend the proceeds from their home to pay for Doug’s nursing home care before Medicaid would help pay for his care, due to the Medicaid eligibility spend-down requirements. Doug passed away five months after moving to the skilled nursing facility. Maria was still paying for his care out of the proceeds from the sale of their home, so she never received Medicaid assistance for Doug’s care.

Address the following within the required Parkinson’s Disease Case Study template:

• Briefly define Parkinson’s Disease.
  • What physical changes occur related to the onset of the disease?
  • What are the possible psychological changes with PD?
  • What system(s) are affected?
  • What are the treatments and therapies?
• The case study shared details that indicate Doug is no longer able to identify and resolve problems.
  • Identify two examples in the study that indicate Doug is losing this ability.
  • Provide two other examples that may arise as the disease progresses that are related to identifying and resolving problems.
• Discuss possible feelings and stressors Doug may be experiencing as the disease progresses and he must rely on caregivers more.
  • Refer to the required reading list for the topics related to this assignment for ideas.
• Discuss the effects of the diagnosis of PD and its progression can have on a spouse and family (micro-level).
  • Refer to the chapter and required readings regarding caregiving and caregiver burden (e.g., employment, psychological effects, financial stressors, role in the marriage, etc.).
• Locate two services in your own community that offer assistance to people with PD and their caregivers (meso-level).
  • Describe the services available, cost, and eligibility requirements.
  • In your opinion, are Doug and Maria eligible for the services? Explain your answer based on your findings and the knowledge of Doug and Maria.
• At the macro-level, research the state and federal programs, legislation and initiatives that affect chronic illnesses. Discuss the pros and cons of two of the following items as they affect patients and caregivers.
  • Legislation and lobbying efforts (e.g., changes to the Affordable Care Act [ACA], stem-cell research, etc.)
  • Requirements to qualify for Social Security Disability Income (SSDI)
  • Requirements to take advantage of the Family and Medical Leave Act (FMLA)
  • Requirements to qualify for Medicaid/Medicare.
    • What are the requirements of these programs in terms of paying for skilled nursing for Doug? Do Doug and Maria qualify for assistance through these programs? Why or why not?
  • Americans with Disabilities Act (ADA).
  • A program, legislation, or initiative of your finding.
• Use a minimum of three scholarly sources. List references in APA format within the response box on the template.

The Parkinson’s Disease Case Study assignment