Exploring the Substance Abuse Treatment Programs

Abstract This research paper establishes that the problem of substance abuse in the female sex is increasing in most parts of the world. The trend is worrying. Some of the policy changes discussed include the use of specialized care providers, provision of care in the society, and the establishment of more women-specific rehabilitation centers. Issues concerning the course and nature of substance abuse, addiction, recovery, and relapse among this population of female substance abusers have also been discussed.Advertising We will write a custom research paper sample on Exploring the Substance Abuse Treatment Programs specifically for you for only $16.05 $11/page Learn More Various evidence-based approaches to treating substance abuse and addiction in various settings in the selected target population will be tackled in the research paper. The context of a changing health care environment for women substance abusers will also be highlighted. Important ther apies such as the nontraditional approaches of motivational therapy, solution-focused brief, and group therapies will take the center stage. SFGT emerges a futuristic treatment modality for women with substance abuse problems. Introduction Women are a special population of drug abusers. They provide a challenge to any group or individuals who are working towards their treatment. Like many states in the US, the state of Florida is one of the most affected with the problem of drug abuse among women. The impacts of substance abuse are relatively similar to those in the male population. However, this group of substance abusers also faces special challenges. Therefore, it is important to examine the impact of substance abuse on this population and its recovery at an individual (micro) and systems (macro) level. This research paper looks at substance abuse in women, evidence-based approaches to the provision of treatment services for them, and any historical and current policy issues that may have prevented or supported treatment-service delivery to this client group. Relevant Policy Issues Policies addressing the treatment of substance abuse in women with substance abuse problem have been developed from many research findings. The treatment of the special client group is mostly similar to the male colleagues, although there are few variations in the policies. Zarkin, Dunlap, and Homsi (2004) looked at some of the substance abuse services cost analysis programs (SASCAP) and some of the major policies in the management of substance abuse. Some of the policy changes include the allocation of scarce drug abuse treatment dollars (Zarkin, Dunlap, Homsi, 2004). A major policy is the establishment of the Center for Substance Abuse Treatment (CSAT), which is responsible for the treatment of drug abusers. Grella and Greenwell (2004) and Cowan, Deering, Crowe, Sellman, Futterman-Collier, and Adamson (2003) report a considerable increase in the number of women abusing drugs i n the United States.Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Grella and Greenwell (2004) noted that non-specialized and mixed gender individuals mostly managed the treatment programs that were in place. However, they were less likely to address the problems of this group of clients. Most of the women who abuse drugs are also treated as outpatients, hence corresponding to treatment for other groups of drug abusers. Some of the challenges include the existence of few facilities that are dedicated to the treatment of substance dependence in women only. As Grella and Greenwell (2004) state, the women-only providers were more concentrated in the residential facilities. Even though these facilities provide advanced care to the women who are known to be drug abusers, they make up only a small proportion of the treatment system. However, over the past few years, there has been growing attention to the treatment programs for the women drug abusers globally, especially in the US. Some of the policies that have positively affected funding of programs for treatment of women with the problem include the federal block grant, initiation of projects that are federally funded, and the â€Å"women’s set-aside† (Grella, Greenwell, 2004, p. 378). The state of Florida has a treatment program for drug abusers. However, the number of women-specific facilities is still small. The program in place in this region is the Substance Abuse and Mental Health (SAMH) program, which operates within the Florida Department of Children and Families (DCF). It is the single-state authority on substance abuse and mental health (Substance Abuse, 2014). The region also has a treatment and referral system for drug abusers in accordance with the national policy on drug abuse. The US Department of Health and Human Services, specifically the Substance Abuse and Mental Health Services Administration’s (SAMHSA), has a national drug and alcohol treatment referral service, which provides Spanish and English treatment programs for the residents for free and with assurance of confidentiality (Substance Abuse, 2014). Nature of Substance Abuse, Addiction, Recovery, and Relapse Substance abuse in women is a common problem as stated above, with millions being affected by the problem. The cause of the substance abuse is dependent on the individual factors and drug characteristics that the individual is abusing (Doweiko, 2008). Harmful drug abuse rarely occurs before teenage, with most of the abusers being over 15 years (McCollum, Trepper, Smock, 2003). The disorder or habit begins to increase with the increasing age, with a described peak being witnessed in the early 20s (Berg, Miller, 1992). In one of the population studies in the US, the prevalence of alcohol dependence was reported at 2% in people aged 12 to 17 years. The incidence was higher in 18- to 20â€⠀œyear-olds, standing at 12% (Grant, Stinson, Dawson, 2004a). The prevalence of dependence and abuse for the other groups that are older than 20 years is relatively smaller. It decreases with increased age.Advertising We will write a custom research paper sample on Exploring the Substance Abuse Treatment Programs specifically for you for only $16.05 $11/page Learn More Addiction and substance dependence among women substance abusers takes a course that is similar to other groups of dependence. Large proportions of women that are dependent in their 20s will remit later in their life, with some remaining addicted into their later ages (Thoits, 2010). Most of the women who remain dependent and addicted to the substances will develop a more chronic course (Cowan et al., 2003). They are likely to experience physical and psychological conditions that are associated with the condition. Women with limited social support and stability including being unemployed , without family, and housing are more likely to remain addicted for longer, with their recovery being dependent on these factors (Weiss, Griffin, Mirin, 1992). Stressful life experiences are a contributor to the problem of drug abuse among women since it influences the treatment course (Taylor, Biswas, Vaughn, 2012; Minkoff, 2013). Recovery among the population of women who are drug abusers is better in relation to their male counterparts since most of the drug abusers that seek help are the women group (Berg, Miller, 1992). The cases of relapse with treatment are common, especially in people who have abused the substance for long. One third of the treated cases of drug abuse are the women who are known to relapse in a 10-year period. A few of them continue to have the drug abuse problem for life (Russell, Gockel, 2005). Therefore, the treatment of drug abuse for the women group is dependent on the social support among other factors. Moreover, the recovery of women drug abusers is a function of factors such as social support, pre-morbid personality, and the environment in which they are located (Ruger, Abdalla, Luekens, Cottler, 2012). Women have a better recovery from drug abuse compared to their male counterparts. The understanding of this situation is due to the wider support they have and the ease of seeking help. The average period of recovery according to Berg and Miller (1992) is 3 years. However, this period varies among individuals. Relapse is common in women drug abusers. One third of those who undergo treatment are known to relapse. The treatment of patients without elimination of the predisposing conditions causes them to relapse to their previous state. The chances of treatment after relapse are considered to reduce. Women drug abusers who experience relapse mostly end up abusing drugs for life (Berg, Miller, 1992). The treatment of women drug abusers who relapse is different from first-time patients. Evidence-Based Treatment Approaches Evi dence-based substance abuse treatment approaches for the women population have undergone a change over the last few decades. Many studies have been conducted on the most effective methods of treatment, with their findings informing the approaches (Emmelkamp, Vedel, 2006).Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Straussner (2012) is one of the researchers who looked at the evidence-based treatment modalities for substance abuse and the changes that this plan has undergone in history. The researcher states that one useful tool in the diagnosis and management of substance abuse is the Diagnostic and Statistical Manual of Mental Disorders (DSMIV-TR), which has been useful in the management of all genders of substance abusers (Straussner, 2012). Treatment of substance abuse is mainly approached as an outpatient and inpatient approach. Rehabilitation is a major trend presently and in the past. Detoxification has largely been used, with substitution therapies being applied to treat the drug substance abusers (Straussner, 2012). Pharmacotherapy has been applied in most of the treatment modalities. In the treatment for alcohol dependence, some of the medications used include disulfuram and naltrexone (Straussner, 2012). Acamprosate is also a medication that has been tried with varying degrees of ef ficiency in reducing alcohol abuse in the general population and in women. Behavioral therapies constitute the other evidence-based method of treating substance abuse in women. They have been used successfully in most of the patients in combination with other therapies (Straussner, 2012). According to Straussner (2012, p. 129), â€Å"Behavioral therapies help people engage in the treatment and recovery process, provide incentives to remain abstinent, modify their attitudes and behaviors related to substance abuse, and increase skills to handle stress and environmental cues that may trigger craving for AOD.† Cognitive behavior therapy is another method that is widely used in the management of substance use disorders in women. The technique teaches the affected persons on how to control their thoughts and modify the maladaptive beliefs and cognitive distortions that may be pushing them to the drug abuse (Straussner, 2012). Motivational enhancement therapy and the Twelve Step Fa cilitation Therapy (TSF) are widely applied therapies that form the basis of Alcoholic Anonymous and their treatment of substance abuse (Straussner, 2012). Harm reduction is another of the models that have been used in the management of substance abuse. It originated in Europe with the adoption in the US in the late 80s to prevent the transmission of HIV among substance abusers (Straussner, 2012). Family-focused treatments have also been found to be important in the management of substance abusers. Current Substance Abuse Treatment System Traditionally, the treatment of substance abuse in the female population of patients was similar to that of male patients. Evidence provided in this essay, especially in the reviewed literature, suggests that the treatment of this special group of clients is mainly effective if they are treated in their own specialized facility (Knight, Logan, Simpson, 2001). The researchers state, â€Å"clients who receive services targeted toward their specific needs are more likely to complete treatment and that they have better outcomes at follow-up† (Knight, Logan, Simpson, 2001, p. 11). Specialized facilities for the provision of treatment for women that are known drug abusers have increased, with an on-going training for more specialists who will cater for the individual needs of this class of patients in this changing environment. The current management of substance abuse is more focused on the institution of care at the community level, with patients being managed at their homes and in the society. The measures are more effective in the current management of substance abuse in women, as it incorporates some of the social stressors that may be contributing to their substance abuse (Berg, Miller, 1992; Mott Gysin, 2003). In the changing environment of care for groups with special needs, women with substance abuse problems are more affected by changes in the health context. The current substance abuse treatment system is also focused on influencing the psychiatric and social effects of the substance abuse, with a wide use of group therapies as discussed below. Group Therapies Heather (2005) explored addictions in the context of being disorders in motivation. He suggested that motivational therapy is an effective measure in management. According to Heather (2005), the use of motivational interviewing presents a good way of dealing with addiction. The previous trials and use of the same have proved to be effective. Motivational therapy is done to patients to encourage and motivate them to relinquish their substance abuse habits. They are first motivated to have a change in attitude. Motivational enhancement therapy has been used in the management of alcohol abuse disorder with considerable success in combination with other therapies. The treatment modalities that are combined with motivational therapy require the patient to be motivated to proceed with any treatment, and thus the increased efficiency and efficacy (Berg, Miller, 1992). Smock, Trepper, Wetchler, McCollum, Ray, and Pierce (2008) looked at the efficacy of the solution-focused group therapy in the management of substance use disorders. The efficacy of the SFGT was remarkable in the study. Treatment of the drug abusers was successful in most of the instances in the study (Smock et al., 2008). However, the research was focused on the treatment of substance abuse in level-1 substance abusers. Patients who received either SFGT or the traditional treatment approach were reported to improve on either treatment (Smock et al., 2008). Nonetheless, significant improvement was noted in patients who were treated using the SFGT. The researchers concluded that the treatment of substance abuse in patients who are known substance abusers has to take that approach (Smock et al., 2008). The approach of using SFGT, which is a resiliency-based approach, is gaining popularity among clinicians treating substance abuse in health facilities. T he approach provides a feasible method of treatment of the same in any women-specific treatment programs. The popularity in the use also means that clinicians have faith in the method and that they have documented improved outcomes with treatment. The modalities will likely enhance treatment in the current health care environment, with more patients receiving direct care. Group therapies are more concerned with the treatment of individuals with similar conditions. They are tailor-made to the needs of the unique groups. Very few group therapies deal with the treatment of women who are diagnosed with substance abuse disorders. There should be more attempts to increase the number of women receiving this specialized care (Berg, Miller, 1992). The above-discussed modalities in the treatment of substance abuse in women might enhance the current health care environment. The insurance coverage for women drug abusers is a significant part of the changing health environment. Many organizatio ns offer insurance coverage for such patients. This accessibility reduces the cost of treatment for women drug abusers. Patients that are not already insured should be put in the insurance programs to reduce their treatment costs. It is important to note that most organizations involved in the treatment of women drug abusers charge for these services. This observation is one of the factors that cause those affected not to seek treatment. In the state of Florida, the number of women drug abusers is significantly dropping. This finding can be attributed to the rise of many organizations offering women-specific rehabilitation services. Conclusion and Recommendations In conclusion, the course and nature of substance abuse, addiction, recovery, and relapse among this population of women substance abusers has also been discussed. Various evidence-based approaches to treating substance abuse and addiction in various settings in the selected target population have also been discussed. Recom mendations in the management of substance abuse disorder in women are possible from the above research. The future management of the problem needs to be taken in the social setting of patients to ensure that the problems causing them to engage in substance abuse are tackled. The research establishes that poor social support for the patients often ends up complicating their management, with most of patients with poor support structures ending up with relapse. The management also needs to take a more specialized approach where structures are set to ensure that the facilities taking care of women with substance abuse disorders are treated by a specialized team of practitioners. The client group has established special needs that may be overlooked by the general practitioners who handle other needs in the society. The other recommendation is that there needs to be education that is more consistent to the public on the effects of substance abuse, with special focus on the specific effect s that the client group may experience. The education needs to be in the form of campaigns where the bodies established to deal with the problem of drug abuse constantly engage in the reduction of the main predisposing factors to the problem. The other recommendation is that treatment modalities discussed in the paper such as SFGT should be widely applied in the management of women who are drug abusers. The use of these modalities will lead to increased success in the management of patients since they present a better success rate. There is also need to carry out more research on the best methods of intervention for this group since there are more knowledge gaps, with the issue continuing to dominate in many parts of the world. Reference List Berg, K., Miller, S. (1992). Working with the Problem Drinker: A Solution-Focused Approach. New York, NY: W. W. Norton. Cowan, L., Deering, D., Crowe, M., Sellman, D., Futterman-Collier, A., Adamson, S. (2003). Alcohol and drug treatment for women: Clinicians’ beliefs and practice. International Journal of Mental Health Nursing, 12(1), 48-55. Doweiko, E. (2008). Concepts of Chemical Dependency. London: Cengage Learning. Emmelkamp, M., Vedel, E. (2006). Evidence-based treatment for alcohol and drug abuse: A practitioner’s guide to theory, methods, and practice. New York, NY: Routledge. Grant, F., Stinson, S., Dawson, A. (2004a). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61(1), 807–816. Grella, C., Greenwell, L. (2004). Substance Abuse Treatment for Women: Changes in the Settings Where Women Received Treatment and Types of Services, Journal of Behavioral Health Services Research, 31(4), 367-383. Heather, N. (2005). Motivational interviewing: Is it all our clients need? Addiction Research and Theory, 13(1), 1-18. Knight, D., Logan , S., Simpson, D. (2001). Predictors of program completion for women in residential substance abuse treatment. Am. J. Drug Alcohol Abuse, 27(1), 1-18. McCollum, E., Trepper, T., Smock, S. (2003). Solution-Focused Group Therapy for Substance Abuse: Extending Competency-Based Models. Journal of Family Psychotherapy, 14(4), 27-42. Minkoff, K. (2013, April 19). Treating Comorbid Psychiatric Substance Use Disorder. Psychiatric Times, pp. 1-10. Mott, S., Gysin, T. (2003). Post-Modern Ideas in Substance Abuse Treatment. Journal of Social Work Practice in the Addictions, 3(3), 3-19. Ruger, J., Abdalla, A., Luekens, J., Cottler, L. (2012). Cost-Effectiveness of Peer-Delivered Interventions for Cocaine and Alcohol Abuse among Women: A Randomized Controlled Trial. PLoS One, 7(3), 1-12. Russell, M., Gockel, A. (2005). Recovery Processes in a Treatment Program for Women. Journal of Social Work Practice in the Addictions, 5(4), 27-45. Smock, S., Trepper, T., Wetchler, J., McCollum, E., Ray, R., Pierce, K. (2008). Solution-Focused Group Therapy for Level 1 Substance Abusers. Journal of marital and family therapy, 34(1), 107-120. Straussner, A. (2012). Clinical Treatment of Substance Abusers: Past, Present and Future. Clin Soc Work J, 40(1), 127-133. Taylor, D., Biswas, B., Vaughn, M. 2012). Incremental Validity of Stressful Life Experiences in Predicting Psychiatric Comorbidity Among Women in Substance Abuse Treatment Rebecca. Journal of Social Service Research, 38(1), 382–391. Thoits, A. (2010). Stress and health. Journal of Health and Social Behavior, 51(1), S41–S53. Weiss, D., Griffin, L., Mirin, M. (1992). Drug abuse as self-medication for depression: An empirical study. The American Journal of Drug and Alcohol Abuse, 18(2), 121–129. Zarkin, A., Dunlap, J., Homsi, G. (2004). The substance abuse services cost analysis program (SASCAP): a new method for estimating drug treatment services costs. Evaluation and Program Planning, 27(1), 35– 43. This research paper on Exploring the Substance Abuse Treatment Programs was written and submitted by user Braxton House to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Promote Your Content Marketing

Promote Your Content Marketing We all want more visitors, more audience, and more traffic to our blog, but how will they all  find us? These days everyone is creating content, which is only compounding the problem. Isnt it impossible to  stand out from the masses and become a high-traffic blog? Its not impossible–your blog can stand out–but you need to become a public relations (PR) wizard in order to do it. One of the big secrets to understanding how blogs grow is to know the difference between PR and promotion. Without understanding the difference between the two,  the result is wasted  efforts to promote and grow your blog that feel random and without a solid strategy.  For example,  while it may make sense to write a guest post, does it really make sense to write a guest post for that particular blog? And, if I write a guest post for that blog, what topic should I write about for the best  advantage? This is where a clarity between promotion PR comes in handy. Let’s take a look. A successful blog is one that knows the difference between PR and Promotion.The Difference Between Blog Promotion And PR Promotion is what we usually think about when we talk about building traffic for our blog. Promotion is: Getting people to read your content by stimulating demand for your content across a variety of channels. On the flip side, PR is: Getting people to respect what you  have to say, and ensuring that  the overall company has a  strong public image and an abundance of  good will. In some ways, blog promotion is about the short(er) term click-throughs and links, where as blog PR is about building a long-lasting reputation as the go-to blog for expert information. For example: The Moz Blog  as the go-to SEO blog Social Media Examiner as the go-to blog for social media Copyblogger  as the  go-to blog for  copywriting Inbound Hub  as the go-to blog for inbound marketing So, how do these blogs do it? Easy! All it takes is a relentless focus on both blog promotion and blog PR. Let’s take a look at how they are different. Blog promotion is something that we talk about often here at . We advocate several strategies like email marketing, a social media promotion schedule, and repurposing your content, but there is even more to think about. I tend to look at it as four  different layers of blog promotion. 1. Owned Channels The first layer is made of up of your own channels. These might be a huge  email marketing list, a great social media presence, and  a  thorough  social media promotion schedule. These are your own channels, and they are only  the tip of the iceberg for promoting your content. 2. Earned  Channels The earned channel is made up of the various social sharing done  by your audience. This includes social media shares, nomination style distribution outlets like Inbound.org or Buffer Daily, and link-backs from other bloggers. This is primarily driven by high quality content that is easy to share. 3. Paid  Channels While  often ignored, paid promotion channels can bring a good boost to any blog, and are a good means of promotion. Great examples of this include Facebook, Twitter, StumbleUpon and Reddit. 4. Syndication  Channels Reposting (or repurposing) your content on other sites is also a great promotion strategy. Examples of this include allowing your content to be reposted on another blog, or recreating content in a new form such as SlideShare are podcast topic. Blog PR is an entirely different process than promotion with a very different goal. Blog PR tends to focus on the long term strategy. I like to think of it like this: blog promotion aims for clicks, shares, and traffic, while PR   aims for expertise, trust, and good will. It may sound hard put into action, but it really isn’t. The layers of PR   can be broken down into different audience groups like the following: 1. Subscribing Audience The first layer in your PR   strategy is definitely your current audience. This should be easy, since they are already â€Å"true believers.† You will primarily reach this group with your owned channels, and you job is basically to just not screw things up. 2. Emergent Audience The second layer of PR   is made up of the â€Å"sometimes audience members that are familiar with you, but haven’t become a â€Å"true believer† yet. These members may have visited your site once or twice, but are not yet a subscriber. These are a  common audience type for content marketing, as explained here by Rand Fishkin. 3.  Influencers The influencers layer is made up of the  connectors that already know and are connected with the people you should be talking to. You need to  cross-pollinate with these groups. Influencers help you bridge the gap between yourself and new audiences. This can be accomplished through strategic partnerships, and even the â€Å"expert† posts that bring influencers together. 4. Permitter Audience I am going to dig into this strategy a bit more later on, but the permitter audience is composed of various audience segments that you ultimately want to reach. A lot of people talk about how to understand your audience  in blogging, but they don’t always discuss how to reach these people in a practical way. This is where a strong guest blogging strategy comes into play. How  Audience Building Really Works Looking at the layers of PR   above, it is pretty easy to see how a blog audience growth works. The big idea here is to turn permitter audience members into subscribing audience members by working them through the PR process. A great way to do this is with a strategic guest blogging strategyby guest blogging. Here’s how. First, group your audience into a set of audience segments. If you need to better understand your audience, there are many ways that you can learn about them using things like Google analytics and other methods. As example of this can been seen in a few audience segments that we have here at . These audience segments could be considered your ‘permitter audience. Once you have your audience segments identified, you need to find blogs that are already serving these groups. These are the influencers that I mentioned above. They will be able to connect you with the people that you really want to talk to. From there, begin reaching out the appropriate blogs, and provide them with awesome content that will both benefit their audience and help grow yours. It should begin to look like a wheel. Each guest post will connect you to these audiences, and help define your PR strategy. Since you are not being paid to blog, you will be building good will and recognition with the very audience that you are hoping to serve as subscribers. While this isn’t a ‘get tons-of-emails quick’ strategy, it is definitely a great way to grow your influence and your long term growth. As your permitter audience is exposed to you over and over again, you will build the trust and pull necessary for them to look into what you have to offer.

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Type 2 Diabetes Leg Ulcer Case Study

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It is very important for Molly to receive the appropriate care that she requires as it will allow her to understand her condition (Koutoukidis, Stainton, Hughson, 2013). Molly is financially stable, as she has been seeking medical treatment, where she has to treatment for her leg ulcer. The local GP has also recommended for Molly that she should sit with her leg up to promote healing. PHC will also allow Molly to contribute in decision-making, this will permit her to have a say in the care she will receive, and make her feel in control of the situation and to maintain her independence (Koutoukidis, Stainton, Hughson, 2013). Wellness is defined as having maximum health, it relates to an individual making a decision that contributes in improving their health and gives an opportunity for them to be able to live to their full potential (Koutoukidis, Stainton, Hughson, 2013). Wellness is identified to be ‘holistic’, and includes 6 dimensions, social, occupational, spiritual, physical, intellectual and emotional wellness (Southern New Hampshire University, 2015). Using the wellness model, we are able to support Molly by helping her make positive changes that improve her level of health. By promoting one of the principles ‘Wellness is an active process,’ Molly will be provided with assistance and education that will expand her knowledge, permitting her to learn more about how to manage her leg ulcer, and learn different ways in handling her health concerns, increasing her independence (Southern New Hampshire University, 2015). Another principle that we can promote for Molly is Ã¢â‚¬Ë œPositivity is empowerment’. This principle takes into consideration ones feelings, meaning that having a negative attitude can affect the health outcome, whereas, having a positive attitude can help the patient feel empowered and in control of a situation (Southern New Hampshire University, 2015). Promoting the principle ‘Positivity is empowerment’ for Molly will motivate her into making significant changes in her health without having the need to doubt herself in her decisions. Positivity has a great effect to how Molly perceives her situation whereas; having a negative effect can bring her down and impact on her healing (Southern New Hampshire University, 2015). Health care providers will also be there to support Molly in anything that she will need and reassure her if things don’t go to plan. Within Australia, the incidence of diabetes amongst the adults is 4%, this rate has risen from 1.5% since 1989 (Australian Institute of Health and Welfare, 2015). There are two main issues that are related to insulin in type 2 diabetes, the inability of the body to secrete insulin and insulin resistance. Normally, insulin would bind to receptors on cell surfaces and initiates a reaction that is involved in glucose metabolism. However, in type 2 diabetes, this process is impeded, which leads insulin less effective at stimulating glucose uptake by the tissues and the release of glucose in the liver (Farrell Dempsey, 2011).A factor that may have caused Molly’s leg ulcer is the loss of sensory due to neuropathy. Pain and temperature are the first sensations that are affected by neuropathy, this makes it difficult for the patient to feel tissue damage, inflammation, or injury (Meiner, 2014). Molly’s eyesight may be deteriorating due to diabetic retinopathy (DR). This is mai nly caused because of micro vascular damage that diabetes inflicts in the body. Hyperglycemia  damages the retinal vasculature and the progression of retinopathy is caused by the severity and duration of high blood sugars (Shah, 2008). Both a physiotherapist and a dietician would be recommended to assist Molly on her health issue. The physiotherapist would be involved in renewing her mobility and relieve any pain that she may be feeling, a dietician will be able to introduce Molly to a new healthy eating diet (Funnel, Koutoukidis, Lawrence, 2009). Eating healthier can promote wound healing, as her blood sugar levels will be manageable increasing the blood supply to her feet (Diabetes Australia, 2015). Molly can be taught how to look after her leg ulcer by demonstrating how to treat and prevent infections. A way we can teach her is by using very simple verbal discussion and demonstrations so that she is able to understand. If she is unable to understand what is discussed, she can be provided with information sheets or pamphlets with large writing and pictures showing her instructions. By doing this it will help Molly understand on how to keep her ulcer clean and prevent further infections. This is a very important skill to have if she is unable to access a clinical facility, Molly will be able to change her dressing on her own or with the help of her husband (The State of Queensland, 2012). A community program that Molly can be introduced to is The Leg Ulcer Prevention Program, which is available for people who are receiving care for leg ulcers. This program assists people to better care for their ulcer, by helping them manage chronic disease risk factors, promote wound healing and the reoccurrence of leg ulcers. This program also helps patients with treatment and helps them take ownership of their leg ulcer and self-care activities (Kapp, Miller, Donohue, 2010). An additional program that can be used to support Molly’s learning program is a pamphlet called ‘The Care of Venous Leg Ulcers’ this pamphlet is able to explain how essential it is to manage a leg ulcer and it clarifies how to care for it on a daily basis. This pamphlet must also be altered to meet Molly’s needs such as enlarging that word size so that she will be able to read more clearly (AWMA, 2012). Grief is described as feelings experienced by an individual that accompany an unexpected or actual loss that may occur in life (Farrell Dempsy, 2011). Supporting the spouse in this grieving situation is important. Developing a therapeutic relationship between the enrolled nurse and spouse can allow the spouse to feel comfortable and encouraged to communicate their feelings and work through it. This will allow the spouse to express their feelings of loss, even anger (Funnel, Koutoukidis, Lawrence, 2009). The nurse has to remember that if anger is shown, it is not towards them or anyone but a way of responding to the situation occurring. By encouraging the spouse to communicate and express their feelings of loss are important components of a nurse’s role. The nurse requires a caring, willingness to listen and an understanding empathic approach. If the nurse shows this, the person is more likely to feel comfortable to express their feelings if they feel the nurse is willing to listen to their concerns (Funnel, Koutoukidis, Lawrence, 2009). In a grieving situation the nurse cannot grieve for a person; the nurse will acknowledg e the loss, by facilitating the expression of feelings and thoughts and providing appropriate support as they move on the feelings of grieving. The nurse should respect the spouse if he is not willing to express his feelings of grief, although the nurse can make it clear that if he decides to do at a later opportunity it can be possible (Funnel, Koutoukidis, Lawrence, 2009). A service that would be recommended for Pat is Reach Out. Reach out (http://au.reachout.com/working-through-grief#strategies%20) is a service providing strategies and support to individuals who are going through grief, it will give Pat the reassurance that there are people out there, including his family who will be there to support him in this very difficult time. In conclusion Molly was able to receive all the appropriate care the she needed to address her health issue but unfortunately has passed away. Pat is currently under care with the support of family members and health care providers. References: Australian Wound Management Association (AWMA). (2012). Care of Venous Leg Ulcers. Retrieved from AWMA: http://www.awma.com.au/publications/vlu_patient_info_a4_2012-08-21.pdf Australian Institute of Health and Welfare. (2015). Diabetes. Retrieved from Authoritative information and statistics to promote better health and wellbeing: http://www.aihw.gov.au/diabetes/ Diabetes Australia. (2015). Diabetes and Your Feet. Retrieved from Diabetes Australia: https://www.diabetesaustralia.com.au/Living-with-Diabetes/MindBody/DiabetesYour-Feet/ Farrell, M., Dempsey, J. (2011). Smeltzer and Bare’s Textbook of Medical-Surgical Nursing, volume 1 2 (2nd Edition). Philadelphia: Lippincott Williams Wilkins Funnel, R., Koutoukidis, G., Lawrence. (2009). Tabbner’s Nursing Care (5th Edition). Australia: Elsevier Kapp, S., Miller, C., Donohue, L. (2010). The Leg Ulcer Prevention Program: nurse perspectives on a multimedia client education package for people with venous leg ulcers. Wound Practice Research, 18(2), 91-99. Koutoukidis, G., Stainton, K., Hughson, J. (2013). Tabbner’s Nursing Care: Theory and Practice (6th Edition). Australia: Elsevier. Meiner, E. S. (2014). Gerontologic Nursing (5th Edition). Retrieved from https://books.google.com.au/books?id=V-4TBQAAQBAJpg=PA620dq=the+relationship+between+leg+ulcers+and+diabeteshl=ensa=Xei=TnMOVbq-MYKB8gW5r4HwAQved=0CDYQ6AEwBTgK#v=onepageqf=false Reach Out Australia. (2014). Working through grief. Retrieved from ReachOut.com: (http://au.reachout.com/working-through-grief#strategies%20) Shah, C. (2008). Diabetic retinopathy: A comprehensive review. Indian Journal Of Medical Sciences, 62(12), 500-519. Retrieved from http://go.galegroup.com.ezproxy.lib.monash.edu.au/ps/retrieve.do?sgHitCountType=Nonesort=RELEVANCEinPS=trueprodId=AONEuserGroupName=monashtabID=T002searchId=R1resultListType=RESULT_LISTcontentSegment=searchType=AdvancedSearchFormcurrentPosition=1contentSet=GALE%7CA195127190docId=GALE|A195127190docType=GALErole = Southern New Hampshire University (2015). Wellness Model. Retrieved from Southern New Hampshire University: http://www.snhu.edu/2354.asp The State of Queensland. (2012). A way with words: A guideline for the portrayal of people with disability. Retrieved from https://www.qld.gov.au/disability/documents/community/way-with-words.pdf

Impact of Chinese Heritage on Maxine Hong Kingstons The Woman Warrior

Impact of Chinese Heritage on Maxine Hong Kingston's The Woman Warrior "Haunted by the power of images? I do feel that I go into madness and chaos. There's a journey of everything falling apart, even the meaning and the order that I can put on something by the writing." —Maxine Hong Kingston It is true that some dream in color, and some dream in black and white. Some dream in Sonic sounds, and some dream in silence. In Maxine Hong Kingston's literary works, the readers enter a soundless dream that is painted entirely in the color of black—different shades and blocks of pigments mixing and clashing with each other, opening up infinite possibilities for both beautiful if frightening nightmares and impossible dreams. An Asian-American writer growing up in a tight and traditional Chinese community in California, Kingston is placed by her background and time period to be at the unique nexus of an aged, stale social institution and a youthful, boisterous one. She has had to face life as an alien to the culture of the land she grew up in, as well as a last witness of some scattered and unspeakably tragic old ideals. She saw the sufferings and has suffered herself; but instead of living life demurely in the dark corner of the family room like she was expected to, Kingston became the first woman warrior to voice the plight of the mute females in both Chinese and American societies. The seemingly immeasurable and indeed unconquerable gap between the two fundamentally divided cultures comes together in herself and her largely autobiographical work The Woman Warrior: Memoirs of a Girlhood Among Ghosts. One of the most striking features about Kingston's writings in The Woman Warrior is her use of poignant imageries—ghosts, sil... ..., the dreams, the need to escape from social reality—they were what her heart saw growing up in that little forsaken old Chinese village in California, and they alone hold any deep significance to her and her writings. With a blazing desire to free the oppressed female voices, Kingston started with her own. Thus born The Woman Warrior, a chronicle of a Chinese American woman's personal sufferings and triumphs, of duplicities and truths, and of struggles and breakaways; a requiem for all the victims of the old culture whose soundless cries have not been heard and who died without a name, engulfed by the darkness and the silence. In her world then, at least, the failed heroine Fa Mu Lan is redeemed. Works Cited Kingston, Maxine Hong. The Woman Warrior: Memoirs of a Girlhood Among Ghosts. New York: Random House, 1975. Vintage International Edition, April 1989. Impact of Chinese Heritage on Maxine Hong Kingston's The Woman Warrior Impact of Chinese Heritage on Maxine Hong Kingston's The Woman Warrior "Haunted by the power of images? I do feel that I go into madness and chaos. There's a journey of everything falling apart, even the meaning and the order that I can put on something by the writing." —Maxine Hong Kingston It is true that some dream in color, and some dream in black and white. Some dream in Sonic sounds, and some dream in silence. In Maxine Hong Kingston's literary works, the readers enter a soundless dream that is painted entirely in the color of black—different shades and blocks of pigments mixing and clashing with each other, opening up infinite possibilities for both beautiful if frightening nightmares and impossible dreams. An Asian-American writer growing up in a tight and traditional Chinese community in California, Kingston is placed by her background and time period to be at the unique nexus of an aged, stale social institution and a youthful, boisterous one. She has had to face life as an alien to the culture of the land she grew up in, as well as a last witness of some scattered and unspeakably tragic old ideals. She saw the sufferings and has suffered herself; but instead of living life demurely in the dark corner of the family room like she was expected to, Kingston became the first woman warrior to voice the plight of the mute females in both Chinese and American societies. The seemingly immeasurable and indeed unconquerable gap between the two fundamentally divided cultures comes together in herself and her largely autobiographical work The Woman Warrior: Memoirs of a Girlhood Among Ghosts. One of the most striking features about Kingston's writings in The Woman Warrior is her use of poignant imageries—ghosts, sil... ..., the dreams, the need to escape from social reality—they were what her heart saw growing up in that little forsaken old Chinese village in California, and they alone hold any deep significance to her and her writings. With a blazing desire to free the oppressed female voices, Kingston started with her own. Thus born The Woman Warrior, a chronicle of a Chinese American woman's personal sufferings and triumphs, of duplicities and truths, and of struggles and breakaways; a requiem for all the victims of the old culture whose soundless cries have not been heard and who died without a name, engulfed by the darkness and the silence. In her world then, at least, the failed heroine Fa Mu Lan is redeemed. Works Cited Kingston, Maxine Hong. The Woman Warrior: Memoirs of a Girlhood Among Ghosts. New York: Random House, 1975. Vintage International Edition, April 1989.