[SOLVED 2023] Developing employees through the implementation of training and development opportunities
Developing employees through the implementation of training and development Unit IV Essay Developing employees through the implementation of training and development opportunities is a primary function of human resource management (HRM). Performance measurement and appraisals are one way to determine what type of additional training is needed to ensure employee success. Imagine that you have been hired as the human resource manager at an organization where you have previously worked or are currently working. Your first task is to assess areas for improving training and development and the performance appraisal system within the organization. Write an essay on your analysis of these two areas. Address the questions below in your assignment. Use headers to organize your paper and show what you are covering in your assignment. Training and Development Analysis What are the steps of the new hire training process? Are there any steps missing that you would add? As the human resource manager, how would you evaluate the training needs of your staff? How can you ensure that the training you would provide is effective? What data might be used to make your conclusion? What considerations would you make for employee learning styles? How would future training and development be impacted through human resource planning? Do you have a plan to shape employee behavior within your organization? Why, or why not? Performance Appraisal Analysis As the human resource manager, what are two best practices you would follow when planning for employee performance appraisals? What performance methods would you choose over other methods? What are two of the common problems with appraisals? How would you avoid them in your organization? What components do you think are required for effective human resource planning? Be sure to include an introduction. Support your essay with a minimum of two references. Your essay must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPERT ANSWER AND EXPLANATION Unit IV Essay In my former job, a thorough process was put in place to ensure that all new hires were conversant with the organizational culture and their tasks. Observably, the company invested a lot of time and resources in training new workers, and it was clear to see the results through the high performance of the workers. However, if I was rehired in the organization, there are different aspects of the process I would change to make it more accommodating to different employee skills. Training And Development Analysis Steps Of The New Hire Training Process The first step in the organization was to identify the training needs of the employees. The needs were mainly gotten from the job requirements. After identifying the needs, the employees were trained on how to perform them and how they can ensure they abide by the organization’s structure. After the training, the employees are given various tasks to complete post-training, and any questions asked are answered (Amegayibor, 2021). In training, I would add the importance of being innovative in the job to encourage evidence-based practice. How I Would Evaluate The Training Needs Of The Staff As a human resource manager, I would evaluate the training needs of the staff by observing their performance. There needs to be retraining in areas where employees do not perform well or as expected. Moreover, it is essential to constantly train employees, especially when there is a system change at the workplace (Amegayibor, 2021). This ensures that they can adapt to the changes efficiently and effectively. I would also evaluate the needs by asking them what they need more training on, as this would guarantee increased productivity on the issue. How To Ensure That The Training Is Effective To ensure the training is effective, I would collect data on their previous and later performances. If there is no improvement in the performance, I would know that the training was unsuccessful. However, if there were positive changes in the performance, I would know that the training is practical. Considerations For Employee Learning Styles Employees have varying learning styles, and incorporating them ensures that they can all understand what is needed in their performance. To ensure that all employees are included, Io would have varying options, including visual, audio, kinesthetic and reading. The employees would choose their preferred training method for better success. Plan To Shape Employee Behavior It is crucial to shaping employee behavior to ensure that it is in line with the goals and organizational structure of the company. Some employees tend to be arrogant, especially if they consider themselves good at their job (Mahadevan & Yap, 2019). I would shape their behavior to ensure that they are always ready to cooperate in their workplace. Performance Appraisal Analysis Two Best Practices When Planning Employee Performance Appraisal In a performance appraisal, a company can understand how the employee has contributed to the company’s development. One commendable practice in performance appraisal is creating a 360-degree feedback initiative. Through the initiative, employees get anonymous feedback from their coworkers, managers and other people they interact with (Hosain, 2016). Through the feedback, they can determine how their performance was and areas of improvement. It is, however, important to only use measurable numbers because of the employee does not get along with a coworker, they can quickly receive a negative review. Another practice is providing concrete examples of the performance. It is important to highlight both the positive areas and the areas that need improvement. This will ensure that the employee perceives the change positively, and while they are proud of their achievements, they are willing to work on improving various areas of performance. Why I Chose The Performance Methods Over Other Methods The two methods discussed are integral to understanding the employee’s performance in real-time. Employees can keep up a face of good performance to the managers, but the people interacting with the employee daily understand the actual performance (Hosain, 2016). By
[ANSWERED 2024] Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment. Explore ways to decrease barriers
Using the criteria below (and explained in greater detail on pages 39 and 40), assess the Conduct an assessment of the health care environment where you work (i.e. health department, long-term care facility, specialty clinic, inpatient hospital, etc). Specifically, examine potential barriers that may exist for a member of a minority group that has a significant presence in your community (i.e. Native American, Cubans, Hmong). Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment. Explore ways to decrease barriers to health care for this minority group so that your organization can strive for cultural competency. Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook. Availability Accessibility Affordability Appropriateness Accountability Adaptability Acceptability Awareness Attitudes Approachability Alternative practices and practitioners Additional services Required source: Purnell, L., & Paulanka, B. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F. A. Davis. Expert Answer and Explanation Analysis of Barriers to Access to Care Barriers within the organization can impede access to care for the Native American Indians, and these barriers can manifest in inpatient setting where the caregivers have to closely monitor patients. These challenges range from discrimination to an organizational culture that is unsupportive of the needs of the patients. Patients in the inpatient settings require monitoring, and caregivers have to equally distribute resources and time to each patient to address the patients’ medical needs. Because of discrimination, however, it becomes a challenge for the Native Americans to enjoy the same quality and amount of care like non-minority populations (Levesque, Harris, & Russell, 2013). Taking into consideration these organizational issues, it is important to look at challenges based on the various dimensions including the availability, accessibility, and affordability. Organizational Barriers Native Americans face in Inpatient Hospital Availability The organization-based challenges the Native Americans grapple with include the lack of medical opportunities. The lack of awareness on who to contact when they need to access medical services is inherently a problem that this group faces. This is a barrier because it limits access to care by hampering the capacity of this group from getting information which could be pertinent to accessing treatment, especially in the inpatient setting (Purnell, L., & Paulanka, 2013). Accessibility Accessibility is also a problem that Native Americans grapple with. This issue occurs because majority of the hospitals in areas where the Native Americans live only provide outpatient services. This poses the problem of access of care in inpatient setting for this population (Levesque et al., 2013). Affordability The insurance firms offer various packages at different prices, and for the Native Americans, affording these packages can be a challenge. This is because this group is economically disadvantaged, and majority of them faces the burden of the rising premiums. Even informal payments can be high for this group, and considering the inpatient setting where costs accumulate with time, paying for care in this context can be a burden. Appropriateness The appropriateness of care is another dimension in which the barriers to accessing health services are noticeable. For instance, some caregivers pay less attention to the cultural and spiritual needs of the Native American patients. For this reason, this group faces difficulties accessing a care that is culturally competent. Another issue under this dimension is that caregivers pay limited attention to the coordination of care with other providers, and this causes the duplication of resources, and the burden of cost goes to the Native Americans (Weinstein et al., 2017). Accountability For the indigenous Americans, accessing accountable care can be a challenge considering that issues such as harm related to negligence or unsafe clinical practices tend to risk the health and lives of this group. When caring for patients from this population, caregivers may not address the need of this group with much seriousness as they would with non-minority populations. This poses a significant risk to these indigenous Americans. Adaptability A sizable number of Indigenous Americans are highly spiritual, and according to this group, the interventions from the spiritual world can help one attain holistic healing. For providers, reconciling these beliefs with the doctrines of the modern care can be a challenge. Thus, adapting care to meet the spiritual and cultural needs of this population can be problematic for caregivers. Acceptability The challenges involving access to care also manifest in acceptability of the cultures and values of the Indigenous Americans. For a provider who identifies as a Christian, accepting the traditions and norms of the Ingenious American populations can be difficult because of the rituals associated with the group’s spiritual activities. Because accepting these traditions can be a challenge for providers, it can be difficult to provide culturally sensitive care to the Native Americans. Awareness An organization may not have effective structures of communication to communicate health information that is pertinent to the advancement of the health care for the American Indians. Lack of translators in a medical facility can create a communication barrier, and this can further make it difficult to help the patient be aware of how they can participate in treatment (Gurr, 2015). Attitudes In some instances, caregivers may have negative attitudes towards the cultures which they don’t identify with, and this negative attitude can have negative impact on the way they interact with patients from different cultures. This is one of the core issues which the American Indians struggle with. Approachability, Alternative Practices and Practitioners and other Services Because of the negative views they attach to other cultures, caregivers may make it difficult for Native American patients to approach them. The thought of the possibility of the caregiver not accepting to integrate the beliefs of a Native American patient into care can cause the patient to shy off from seeking treatment. Negative views attached to alternative health services can hamper the efforts focused on prescribing patients alternative solutions to care. Mechanisms of Mitigation of the Barriers for Native Americans Providers have the mandate to mitigate the barriers and provide the fair
[ANSWERED 2024] Your international business expansion plan should include the concepts and ideas that were covered over the past several weeks. You are to select a country that does not recognize all of the established
Your international business expansion plan should include the concepts and ideas that were Over the past several weeks, you have been learning about the various issues surrounding the challenges and numerous situations that exist legally that differ from those of the United States. You have been placed in charge of the Business Development and Expansion committee for your company. You are charged with the task of researching and identifying a country to expand your company’s operations. Take the feedback from the Phase 4 DB into consideration, and make any additions or deletions as you deem necessary. Your international business expansion plan should include the concepts and ideas that were covered over the past several weeks. You are to select a country that does not recognize all of the established legal guidelines reviewed previously, but the potential profit that could be realized warrants the risk. The following points need to be addressed in your international business expansion plan: The issue of common and civil law systems internationally Intellectual property, copyright infringements, and legal ramifications Violation of human rights of employees and child labor law violations Public perception of companies doing business with companies that engage in that kind of activity What has been the impact of the European Union of the business environment? Anything else that you deem important to support your international business expansion plan Expert Answer and Explanation Organizations and Globalization Common and International Civil Laws Globalization is one of the common aspects that companies aspire to attain after growing or when planning for international business. The identified and selected country that is essential for business expansion in China. China as a country has various laws and regulations but does not fully recognize all of the established legal guidelines (Sinagra, & Valvo, 2019). These create discrepancies in terms of employment rights and regulations. The availability of cheap labor and a high employee force has resulted in reduced adherence to employment rules and regulations. However, the country also has among the largest population in the world and better infrastructure to facilitate the production of goods and services (Brander, Cui, & Vertinsky, 2017). The availability of a ready market, use of technology to market and make sales is also a key benefit from the country which has the potential to improve profit realization. Legal Law Violation China as a country pays little to no consideration to violations of entities such as copyrights, intellectual property, and other forms of infringement. The country is arguably the number one producer of counterfeit products in the world. For instance, the high level of counterfeit products in China led to Windows operating system to provide usable systems without the need of keys as they could not be able to prevent the counterfeit or creation of image versions of the product (Gruffydd-Jones, 2019). However, there are laws on the issue and are being enforced on specific products. Violation of Human Rights and Public Perception China has a huge population with cheap labor for the market. While there is no violation of human rights, there are other cases regarding poor payment, unconducive working environments, minimal to know employee motivation, and challenges with employer provided insurance (Lewis, 2016). The availability of cheap labor will be beneficial to the expansion of the company as the additional proceeds can be used to provide insurance to the employees and attract qualified candidates while at the same time preventing turnover. Through international business expansion, the company can ensure that future employees are accorded better working environments, competitive compensation, and are insured against work-related injuries. These elements can improve employee motivation and increase the attainment of the goals and mission of the company. The implementation of improved working environments and better compensation can improve the perception of the public concerning the nature of the company. Being a foreign land, proper engagement with the locals, and offering better conditions can improve the correlations, sales, and marketing of the products (Chong, 2020). In a country where there are numerous counterfeit goods, focusing on quality products and ensuring they meet the needs standards is a positive development for both the company and towards the perception of the public. Impact of the European Union on Business Environment The EU has been at the forefront in ensuring that countries trade with each other in an orderly manner without discrimination and infringement on items of goods. The creation of a standard form of business and understanding between the member countries is a key focus on the EU in ensuring better collaboration and shared resources (Tomaš, & Radovic-Markovic, 2018). The EU also oversees the issues of conflict resolution to ensure that there is limited to no issues between the member states and the business operations are conducted expectedly. A company that seeks to attain globalization can become part of the EU and the host will accommodate the company in line with the regulations articulated by the treaty. References Brander, J. A., Cui, V., & Vertinsky, I. (2017). China and intellectual property rights: A challenge to the rule of law. Journal of International Business Studies, 48(7), 908-921. Chong, A. (2020, December). Bridging the common law-civil law divide? The 1985 Trusts Convention. In The Elgar Companion to the Hague Conference on Private International Law. Edward Elgar Publishing. Gruffydd-Jones, J. J. (2019). Citizens and condemnation: Strategic uses of international human rights pressure in authoritarian states. Comparative Political Studies, 52(4), 579-612. Lewis, M. K. (2016). Human rights and the US-China relationship. Geo. Wash. Int’l L. Rev., 49, 471. Sinagra, A., & Valvo, A. L. (2019). Internal Law and International Law: From Common Law To Civil Law. author proofs, 17. Tomaš, R., & Radovic-Markovic, M. (2018). Development of Small Countries in the Business Environment of the European Union. Transylvanian Review of Administrative Sciences, 14(53), 84-106. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. FAQs Five factors that should be considered before making the decision to expand internationally Expanding a business internationally can bring new opportunities and growth potential, but it’s also a significant investment
[ANSWERED 2024] Briefly discuss the various organizational structures and share which one of these structures you would like to work in and why?
Briefly discuss the various organizational structures and share which one of these Question 1: When you think of the term Healthcare System what comes to your mind and why. Question 2: Describe the general involvement of hospitals from “warehouses for the dying” to institutions dedicated to healing and welfare of people. Question 3: Share your understanding of “Medicare Managed Care.” Question 4: Many, if not all health services organizations, have organizational structures and portals of care. What is your understanding of patient portals? Briefly discuss the various organizational structures and share which one of these structures you would like to work in and why? Expert Answer and Explanation When you think of the term, “Healthcare System,” what comes to your mind and why. When I think of the term “healthcare system,” several different aspects come to mind. First and foremost, I think of the various organizations and professionals that make up the healthcare system, such as hospitals, clinics, doctors, nurses, and other healthcare providers (World Health Organization, 2020). These individuals and institutions are responsible for providing medical care and treatment to individuals in need, whether it be through in-person visits, telemedicine appointments, or other means. I also think of the various policies and regulations that govern the healthcare system, such as insurance coverage, reimbursement rates, and quality standards (Centers for Medicare & Medicaid Services, 2020). These policies and regulations can have a significant impact on the accessibility and affordability of healthcare for individuals, as well as the overall quality and efficiency of the healthcare system. Finally, I think of the ongoing challenges and issues facing the healthcare system, such as rising costs, access to care, and disparities in healthcare outcomes (Centers for Disease Control and Prevention, 2021). These challenges highlight the need for ongoing efforts to improve the healthcare system and address the needs of all individuals, regardless of their socio-economic status or other factors. Overall, the healthcare system is a complex and multifaceted entity that plays a vital role in the health and well-being of individuals and communities. It is constantly evolving and adapting to the changing needs of society, and it will continue to be an important topic of discussion and debate in the years to come. References Centers for Disease Control and Prevention. (2021). Health Equity. Retrieved from https://www.cdc.gov/healthequity/ Centers for Medicare & Medicaid Services. (2020). Health Insurance Marketplace. Retrieved from https://www.healthcare.gov/ World Health Organization. (2020). Health Systems. Retrieved from https://www.who.int/topics/health_systems/en/ Describe the general involvement of hospitals from “warehouses for the dying” to institutions dedicated to healing and welfare of people Historically, hospitals were often viewed as “warehouses for the dying,” where individuals with serious illnesses or injuries were sent to receive medical care and treatment (Blumenthal, 2020). These early hospitals were often overcrowded, unsanitary, and lacking in basic amenities, and they were not always able to provide the best possible care for their patients (Blumenthal, 2020). However, over time, hospitals have evolved and transformed into institutions that are dedicated to the healing and welfare of people. Today’s hospitals are typically well-equipped and staffed with trained professionals who are committed to providing the highest quality of care to their patients (Blumenthal, 2020). They often offer a wide range of medical services and treatments, including preventive care, diagnostic testing, surgery, and rehabilitation, as well as support services such as nutrition, social work, and spiritual care (American Hospital Association, 2020). In addition to providing medical care, many hospitals are also actively involved in the wider community, working to address public health issues and promote the overall well-being of the people they serve (American Hospital Association, 2020). For example, hospitals may partner with local organizations to provide health education, screenings, and vaccination clinics, or they may participate in disaster preparedness and response efforts (American Hospital Association, 2020). Overall, the role of hospitals has changed significantly over time, and they are now widely recognized as important institutions that play a vital role in the health and well-being of individuals and communities. References American Hospital Association. (2020). Hospitals in Your Community. Retrieved from https://www.aha.org/advocacy-issues/local-hospitals Blumenthal, D. (2020). The History of Hospitals: From Ancient Times to Modern Medicine. Retrieved from https://www.medicalnewstoday.com/articles/323705 Share your understanding of “Medicare Managed Care.” Medicare managed care is a type of health insurance plan that is offered through Medicare, the federally funded healthcare program for individuals who are 65 and older or who have certain disabilities (Centers for Medicare & Medicaid Services, 2020). In a Medicare managed care plan, enrollees receive their healthcare services through a network of providers that is managed by a private insurance company (Centers for Medicare & Medicaid Services, 2020). These plans may include additional benefits and services beyond those offered through traditional Medicare, such as prescription drug coverage and preventive care services (Centers for Medicare & Medicaid Services, 2020). There are several types of Medicare managed care plans, including HMOs (health maintenance organizations), PPOs (preferred provider organizations), and Medicare Advantage plans (Centers for Medicare & Medicaid Services, 2020). Each type of plan has its own unique features and benefits, and enrollees can choose the plan that best fits their needs and preferences (Centers for Medicare & Medicaid Services, 2020). One of the main benefits of Medicare managed care is that it can provide more predictable and stable healthcare costs for enrollees, as the insurance company negotiates rates with providers and sets copayments and deductibles (Centers for Medicare & Medicaid Services, 2020). However, it is important to note that Medicare managed care plans may have more restrictive networks and require enrollees to choose a primary care provider, which can limit their access to certain providers and services (Centers for Medicare & Medicaid Services, 2020). Overall, Medicare managed care is a popular option for individuals who are enrolled in Medicare and are looking for a more coordinated and comprehensive approach to their healthcare. Reference Centers for Medicare & Medicaid Services. (2020). Medicare Managed Care. Retrieved from https://www.medicare.gov/manage-your-health/medicare-managed-care Many, if not all health services organizations, have organizational structures and portals of care. What is your understanding
[SOLVED 2024] There are several standardized training events in large organizations that are required annually or biannually. One of these is often sexual harassment. For this assignment
There are several standardized training events in large organizations that are required UNIT VI: Instructions There are several standardized training events in large organizations that are required annually or biannually. One of these is often sexual harassment. For this assignment, write a training plan for all employees in your firm to educate and develop their awareness of sexual harassment and understanding of legal and organizational policies. Be sure to include training aspects of planning, design, implementation, and evaluation. This plan should be in narrative form with a minimum requirement of 500 words. Discuss the following guidelines to complete your plan. Planning: Should all employees be trained at once? If not, who should be trained first? What are the anticipated outcomes or terminal learning objectives of the training? Design: In what format should the training be given, and why? What modalities will be used for employees on multiple shifts or in multiple locations? What are the core elements of the training that will align with the learning objectives? Implementation: Who will lead the training, and how will it be implemented? Will you be training for knowledge or behavior change? How will you conduct the actual training to account for knowledge and/or behavioral change? Evaluation: How will you know if the training was successful? What measures will you use to know if employees 1) learned from the training, 2) behaved differently after the training, and 3) the training has a bottom line impact to the firm? Any sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations in APA format. Expert Answer and Explanation Training Plan Planning Before carrying out the sexual harassment training program, it is essential to identify the learning objectives that the employees are required to be aware of at the end of the session. At the end of the training program, all the employees are expected not to discriminate each other based on gender on issues like the failure of the manager to promote a worker due to decline on sexual advances. Also, the employees are expected to avoid indecent exposure through putting on clothes that expose private body parts, avoid stalking each other, and making obscene and threatening communications either through phones, emails, letters, and text messages. The training program should be done through shifts starting with the company executives, managers and key stakeholders then followed by the field employees. The executives act as the role model to the employees and change should start with them. Design The learning format should involve classroom training where the trainees come together, and the instructor shares the sexual harassment ethics. Use of classroom ensures that the employees have a proper learning environment that is safe, quiet and clean thus increasing understanding (Silberman and Biech, 2015). Modalities in the training program can be done through the use of instructor-led and virtual stimulation learning. The instructor-led training method enables the employees to receive feedback on their questions thus enhancing in-depth knowledge. Use of virtual stimulation allows the trainees to virtualize the behaviors of the actors; thus, able to make a situational judgment about themselves. The availability of training materials that cover topics on workplace sexual harassment is likely to be aligned with the objectives. Inclusively, the availability of training objectives, having professional trainers, and effective evaluation are essential elements in the achievement of goals. Implementation A professional on sexual harassment will be hired to carry out the training program. The implementation will involve the establishment of the training goals by looking at the objectives set by the company. Determination of the training modalities then follows through consideration of the learning needs and the easiest way of increasing understanding and creating awareness. The trainers then engage with the employees through the provision of the learning experiences like providing inspirational speech and coming up with the winning concepts. Time of training should be appropriate to ensure no employee is left out. Follow up activities are necessary to ensure the workers adopt the knowledge and behaviors from the training (Lacerenza et al., 2017). The training will be driven towards changing the character and imparting knowledge to the employees. This will be achieved through the instructor-led training that passes expertise and information on sexual harassment. The use of virtual simulation enables the employees to change their behavior through situational assessment. Evaluation The success of a training program will be known by looking at the training outcomes such as changes in the behavior, response to questions asked by the instructor, and the learning takeaways. Knowing whether the employees learned from the training needs checking the key takeaways that are linked with the objectives provided at the beginning of the training. The application of the training knowledge and behaviors in the learning program can be a useful tool in the determination of changes in behavior. A complete transition of sexual behavior of the employees within a firm is likely to be evident by increased customer relation, reduced interpersonal conflicts, regular promotions, and reduced problems associated with the labor union. References Lacerenza, C. N., Reyes, D. L., Marlow, S. L., Joseph, D. L., & Salas, E. (2017). Leadership training design, delivery, and implementation: A meta-analysis. Journal of Applied Psychology, 102(12), 1686. Silberman, M. L., & Biech, E. (2015). Active training: A handbook of techniques, designs, case examples and tips. John Wiley & Sons. Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. FAQs Workplace harassment policy sample Here is a sample workplace harassment policy that can be adapted for use in different organizations: Purpose Our organization is committed to maintaining a work environment free of harassment, discrimination, and retaliation. This policy outlines our expectations for all employees regarding behavior in the workplace, and our procedures for addressing complaints of harassment. Scope This policy applies to all employees, contractors, and volunteers of our organization. It covers all aspects of employment, including hiring, training, promotion, and termination. Prohibited Conduct Harassment of
[2024] Episodic SOAP Note Template Example
Episodic SOAP Note Template Example Episodic Focused SOAP Note Template Patient Information: TMF, 23, AAF S. CC “I noticed that I have an odor down there” HPI: Patient presents to office for a follow up from her appt on 02/6/23 well woman gynecological visit in which her pap smear resulted: ABNORMAL ASCUS, HPV + but neg. for 16,18,45. Patient is scheduled on today’s date for a colposcopy. Patient also reports that for the past week she has been having a “fishy” vaginal odor. Denies discharge, pain or itching. Current Medications: EluRyng 0.12 mg-0.015 mg/24 hr vaginal ring INSERT 1 RING VAGINALLY AS DIRECTED. Exchange ring every 4 weeks. Ibuprofen 800mg Tablet Use prn pain q 8 hours. Take with food. azithromycin 500 mg tablet TAKE 2 TABLETS BY MOUTH EVERY DAY FOR 1 DAY Allergies: Patient denies allergies to food or medicine PMHx: . Atypical squamous cells of undetermined significance – Onset: 02/10/2020 Vaginitis – Onset: 08/17/2022 – ureaplasma and AV organisms COVID-19 – Onset: 03/17/2020 HPV – Human papillomavirus test positive – Onset: 03/23/2018 – neg.16,18,45 Genital herpes simplex – Onset: 03/18/2018 Chlamydia –Onset: 03/18/2018 Soc & Substance Hx: Are you blind or do you have difficulty seeing?: No Are you deaf or do you have serious difficulty hearing? No Do you have difficulty concentrating, remembering or making decisions? No Do you have difficulty walking or climbing stairs? No Do you have difficulty dressing or bathing? No Do you have difficulty doing errands alone? No Diet and Exercise What type of diet are you following? Regular What is your exercise level? None Other Education: 12 History of inconsistent/no condom use: Yes Marital status: Single General stress level: Low Education and Occupation What is the highest grade or level of school you have completed or the highest degree you have received? High school graduate Are you currently employed? Yes What is your occupation? server/ leasing consultant Substance Use Do you or have you ever smoked tobacco? Never smoker How much tobacco do you smoke? None How many years have you smoked tobacco? NA Do you or have you ever used any other forms of tobacco or nicotine? No Do you or have you ever used e-cigarettes or vape? Never used electronic cigarettes Do you or have you ever used smokeless tobacco? Never used smokeless tobacco What was the date of your most recent tobacco screening? 02/06/2023 What is your level of alcohol consumption? Moderate (Notes: 1-3 times a week couple of drinks) Do you use any illicit or recreational drugs? Yes Which illicit or recreational drugs have you used? Cannabis What is your level of caffeine consumption? Occasional (Notes: 1 8-12oz coffee daily) Advance Directive Do you have an advance directive? No Is blood transfusion acceptable in an emergency? Yes Marriage and Sexuality What is your relationship status? Single Are you sexually active? Yes Public Health and Travel Have you been to an area known to be high risk for COVID-19? No In the 14 days before symptom onset, have you had close contact with a laboratory-confirmed COVID-19 while that case was ill? No In the 14 days before symptom onset, have you had close contact with a person who is under investigation for COVID-19 while that person was ill? No Lifestyle Do you feel stressed (tense, restless, nervous, or anxious, or unable to sleep at night)? Not at all Do you use your seat belt or car seat routinely? Yes Home and Environment Do you have smoke and carbon monoxide detectors in your home? Yes Are there any guns present in your home? No Do you use sunscreen routinely? Yes Gender Identity and LGBTQ Identity Gender identity: Identifies as Female Assigned sex at birth: Female Pronouns: she/her Sexual orientation: Straight or heterosexual Fam Hx: No children Father- No medical concerns or disabilities Mother-No medical concerns or disabilities Maternal Grandmother- DMII Maternal Grandfather- Medical hx unk Paternal Grandmother- Medical hx unk Paternal Grandfather- Medical hx unk Surgical Hx: Tonsillectomy (stated it was more than 15 years ago) Mental Hx: No reports of depression, anxiety or SI Violence Hx: States that neighborhood is safe, no guns in the home and feels safe in her relationship Reproductive Hx: Duration of Flow (days): 5. LMP: Definite (Notes: 01/07/23-01/12/23). Frequency of Cycle (Q days): 28. Menses Monthly: N. Flow: Moderate (Notes: uses regular pads changes 6 in 24 hours). Age at First Child: 0. Age at Menarche: 12. Current Birth Control Method: Condoms (Notes: removed vaginal ring to give her body a break). Abnormal Pap: Y (Notes: ASCUS HPV not typed). Colonoscopy: (Notes: none). Date of Last Pap Smear: 02/06/2023 (Notes: HPV + 16,18,45-). Hormone Replacement Therapy: N. Most Recent Bone Density: (Notes: none). Most Recent Mammogram: (Notes: none). Sexual Problems?: N. Sexually Active?: Yes (Notes: last active date 02/15/2023). STIs/STDs: Yes (Notes: herpes, had chlamydia years ago. HAs HPV). Total (1) Full (0) Pre (0) AB.1 (0) AB.S (1) Ectopic (0) Living (0) Multiple (0) Spontaneous abortion at 10 weeks age 15 ROS: GENERAL: Denies weight loss, fever, chills, weakness, or fatigue. HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat. SKIN: No rash or itching. Breast-lumps, pain, discharge CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema. RESPIRATORY: No shortness of breath, cough, or sputum. GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood. NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control. MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness. HEMATOLOGIC: No anemia, bleeding, or bruising. LYMPHATICS: No enlarged nodes. No history of splenectomy. PSYCHIATRIC: No history of depression or anxiety. ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or polydipsia. GENITOURINARY: Denies burning on urination, frequency and urgency. Reports vaginal odor ALLERGIES: No history of asthma, hives, eczema, or rhinitis. O. Constitiutional: Patient A&O x4. No deviations in gait.
[ANSWERED 2024] Read the case study presented at the end of Chapter 8 (Guido, p. 150)
Read the case study presented at the end of Chapter 8 (Guido, p. 150) Impact of the Law on Patient Care Issues Professional Development Exercises : Read the case study presented at the end of Chapter 8 (Guido, p. 150) Is the patient correct in asserting that he has a right to know the names and status of individuals who will be performing this procedure? Does the manner in which the student introduced herself and the two other team members have relevance in this case? Was the informed consent deficient to the degree that there was a lack of informed consent by the patient? How would you decide this case? A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband, who is visiting with her, says he is worried that something may be said during the procedure to alarm his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do? Now consider the ethical issues that such a scenario raises. Which ethical principles is the husband in this example most portraying? Which ethical principles should guide the nurse in working with this patient and family member? Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.” You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using both an ethical and a legal approach? Expert Answer and Explanation The Law and Patient Care Issues Healthcare professionals, most especially nurses, come across legal and ethical issues concerning their practice at some point (Guido, 2014). The problems arise out of the lack of satisfaction about the care that has been provided to a patient. This mainly occurs in cases where the patient feels like the care provided by the nurse has been insufficient, especially when the end result of particular care is not impressive. By looking into some case studies regarding the issues that arose in the course of the provision of care to patients, this paper will establish some of the patient care issues that arise in care provision and how they relate to the law. Case study: Chapter 8 Patient right The assertion by the patient regarding having a right to know the status and names of the persons that are to carry out the operation are right. Given the critical nature of surgical procedures, an approach to informed consent should be centered on the patient because the decision to proceed with the surgery should be in terms that the patient is comfortable with (Langerman, 2016). It is, therefore, necessary that prior to the commencement of the surgery, the patient should be aware of all the aspects of the process, including being informed of the team that will carry out the procedure. It is necessary that the patient should know their names and statuses to ensure that he is able to trust the team. Team introduction The introduction of the team that will carry out the procedure on the patient is necessary for the purpose of enhancing the satisfaction of patients (Krishna, 2017). When a patient is aware of the team names and their ranks, their confidence in their qualifications may be enhanced with regard to the quality of care that will be provided. The confidence of the patient will be improved in that he will be able to trust the decisions that will be made by the team while conducting the procedure. Therefore, the way the student made an introduction of the team members and herself was relevant in establishing the confidence of the patient in the team. It is, therefore, necessary that an introduction gets made to build trust in the patient. Deficient informed consent The informed consent, in this case, became deficient at the moment when the student provided the incorrect information about her status (Krishna, 2017). She failed to inform the patient that she was a student, which could have played a significant part in the final decision of the patient in allowing the procedure to be carried out. It is clear that informed consent by the patient was lacking because it was based on inaccurate information. If the student had disclosed her status, there is a high likelihood that the patient would not have approved of her being part of the surgical team on the basis that the surgery was critical. She did not have sufficient experience and knowledge to be part of the surgical team or take part in the process without supervision. Decision The matter would be decided based on the proof that will be presented by the patient concerning having been misinformed by the student to motivate him into allowing the
[ANSWERED 2024] Students must post one interesting case that he/she has seen in the clinical The case should be an unusual diagnosis, or a complex case that required in-depth evaluation
Students must post one interesting case that he/she has seen in the clinical The case Students must post one interesting case that he/she has seen in the clinical The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence –dated within the past 5 years. Students must post one interesting case that he/she has seen in the clinical The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The focus of the presentation must reflect the learning objectives of the course and drawn from the current clinical setting of the student practice site. The evaluation of the presentation is based on the following: Criteria Points Chief Complaint & pertinent history 10 Pertinent exam and diagnostics 10 Working diagnosis with supporting criteria 5 Management plan 5 Epidemiological data -cited from literature 10 Evidenced based rationale for treatment (literature based) 10 Analysis of self-care and family issues r/t diagnosis and treatment plan 20 Evaluation parameters to be used (or were used) to determine outcomes 10 Identify major “lessons learned” and how it may affect your future practice 20 Total100 Expert Answer and Explanation Episodic/Focused SOAP Note Patient Information: Mrs. B is a 67-years-old Caucasian female. S. CC: “I feel like my throat is sore; I have a headache and persistent dry cough.” HPI: Mrs. B is a 67-years old Caucasian female to come to the medical facility complaining of a headache, sore throat, and dry cough that is persistent. The patient mentions that the signs stared by a flue with a running nose two weeks ago. However, the signs became severe three days ago. She rates the pain she feels on a scale of 7/10. Onset: Two weeks ago. Location: Respiratory region. Duration: The pain has been increasing since two weeks ago. Characteristics: The patient coughs a lot and complains of headaches and high fever. Aggravating Factors: The disease is aggravated by cold weather. Relieving Factors: Drinking a lot of water and resting. Treatment: Plenty of fluids and bed rest. Current Medications: OTC Motrin and Aspirin Allergies: No allergy PMH: Medication Intolerances: She has not medical intolerance. Chronic Illnesses/Major traumas: She does not have any chronic or major condition. Screening Hx/Immunizations Hx: The patient received pneumonia and malaria immunizations seven months ago. Since then, she has not been vaccinated again. Hospitalizations/Surgeries: She underwent C-section surgery two years ago. Fam Hx: The patient lives in a family of three siblings. Both her parents are alive. However, her father is suffering from well-controlled diabetes, and her mother has well-controlled arthritis. Her younger brother has asthma. Her maternal grandmother died of cancer. Soc Hx: The patient is a nurse working in a nursing home. Her work is to care for older patients who cannot conduct ADLs by themselves. She is married with one child about two years old. She is also a strong catholic follower. She does not smoke, use alcohol, or take drugs. She likes working out, especially on the weekends. ROS: GENERAL: The patient has a fever, dry, persistent cough, weakness, and fatigue. HEENT: Head: She has a headache. Eyes: No vision problems. Ears, Nose, Throat: No ear infections. She has a sore throat and a stuffy nose. SKIN: No skin diseases. CARDIOVASCULAR: No chest pain or any other cardiovascular condition. RESPIRATORY: She has difficulty breathing. GASTROINTESTINAL: She does not have any gastrointestinal disease GENITOURINARY: She sees her period regularly. The last time she saw her period was last month. NEUROLOGICAL: No neurological disorder. MUSCULOSKELETAL: Reports of body and muscle pains. HEMATOLOGIC: No amenia. LYMPHATICS: No history of lymphatic conditions. ENDOCRINOLOGIC: No endocrinologic conditions. PSYCHIATRIC: No psychiatric condition. BREAST: No breast diseases. ALLERGIES: No report of any form of allergy. O. Vitals: Her height is 154 cm, weight 79 kg, RR 18, HR 65, BT 38.7 degrees centigrade, and BP 127/90. Physical exam: Observation and palpation were the main strategies used to conduct the physical exam (Abraham, Perkins, Vilke & Coyne, 2016). The patient was seen coughing persistently, and her nose was also stuffy. She was so fatigued that he could no sit. When touched, it was found that the patient’s body was hot. Diagnostic results: The diagnostic test that might be ordered in this situation is the Polymerase reaction test (PRT). According to Li et l. (2017), this test is the most sensitive way of testing influenzas compared to any other test. It can be done when the patient is in the doctor’s office. The laboratory tests that can be done to detect the disease include Serology viral culture and rapid molecular assays. Differential Diagnosis Influenza Virus Acute Respiratory Distress Syndrome (ARDS) Covid-19 Virus HIV/AIDS Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2) Primary diagnosis Influenza is the primary diagnosis for this case. Li et l. (2017) note that Influenza is a virus that attacks a patient’s breathing system. The parts that can be most affected by the disease include the throat, nose, and lungs. The disease can also be called flu. However, it should not be mistaken by the flu and causes stomach diseases. Some of the symptoms of the disease include aching muscles, weakness and fatigue, chills, and sweats, fever over 100.2 F, sore throat, headache, persistent cough, and nasal congestion. This disease has been selected as the primary diagnosis because the patient has shown more than 99% of the symptoms highlighted above. The difference between this condition and the other diagnoses is that a patient with Influenza mostly experiences dry cough and is persistent (Wu et al., 2020). P Rapid antigen testing is
[ANSWERED 2024] Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest link
Health care planners could be more effective and efficient if they used the concept of the Complete ALL of the bullet points below: • Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest link in the chain of progression of specific diseases. Instead, most focus on high-technology solutions to preventable problems. Assess the characteristics of the medical care culture that encourage the latter approach. • Hospitals and other health care institutions, whether voluntary or for-profit, need to be financially solvent to survive growing market pressures. Describe how this “bottom line” focus has changed the nature of the US health care system. • The insurance industry plays a huge role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the US government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served. Why do you believe that so much resistance to a concept used in every other developed country has continued in the U.S.? • Include the time management Weekly Planner to show when you will make room for your school work. Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook. They want it in APA with the beginning of the paper stating what it is about and conclusion at the end Required Source: Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett. Read chapters 1 & 2. EXPERT ANSWER AND EXPLANATION US Healthcare System The US healthcare system has experienced a lot of changes in terms of medical care methods and treatment protocols and financing. In terms of treatment, the US health system has been positively impacted by technologies such as electronic health records among other healthcare technologies (Sultz & Young, 2017). These technologies have allowed healthcare professionals to provide quality and safe care. In terms of financing, the US health system has experienced huge reimbursement changes. Some of the policies that have changed US health financing include Medicare, Medicaid, and Affordable Care programs (Sultz & Young, 2017). The purpose of this assignment is to explain characteristics of the medical care culture that have encouraged US care professionals to focus on high-technology solutions to preventable problems, how the “bottom line” focus has changed the nature of the US health care system, and why universal health care is resisted in the US. Question 1 Certain characteristics are common in a medical culture which encourages healthcare professionals to use high-technology solutions to preventable problems. The characteristics become visible during patient examination and provision of other care services concerning the technologies. It is vital to identify the players in healthcare culture to accurately determine their characteristics and motives. In the US healthcare culture, two main players are the patients and healthcare professionals (doctors, nurses, and other specialists) (Sultz & Young, 2017). Other players include the hospital system and third-party payers (private and government insurance plans). One of the medical care cultures that encourage the latter approach is instant gratification. According to Sultz and Young (2017), most healthcare planers focus on high-technology solutions to preventable problems because of the medical culture of instant gratification. Instant gratification means instant cure (Deo et al., 2020). Most patients in the US need an instant cure for acute illness, chronic disease, and pain which cannot be provided by the former. High-technology solutions can provide instant care while the former cannot. When high technologies are used, the patient is cured almost instantly. The second characteristic is work satisfaction. Sultz and Young (2017) noted that work satisfaction is highly associated with the use of high technology to provide cures and promote disease prevention. The main objective of healthcare professionals is to provide patient care using standardized interventions. Healthcare professionals prefer to use high technology to attain healthcare goals because it prevents them from fewer difficulties as compared to the conventional approach which relies on identifying the history of the illness to create a treatment protocol (Harerimana et al., 2019). In other words, healthcare professionals use high technology to help their patients because it achieves their care goals faster than conventional methods and thus improves their satisfaction. The last characteristic is improved coordination of responsibilities and communication. Healthcare professionals prefer care methods that allow them to effectively coordinate and communicate when providing care to their patients. High-technology methods provide them with the opportunity to coordinate and effectively communicate making it a preferred method of care provision among the players in the US care system. Sultz and Young (2017) noted that US care providers have recently shown interest in Electrotonic Health Records as a tool to be used in providing care. The authors argued that the tool has helped healthcare providers easily and effectively coordinate and communicate with patients and other stakeholders to provide care. EHR technology provided healthcare professionals with a single platform where they can access patient data and communicate with peers, making the high-technology care provision method the preferred approach. Question 2 All healthcare organizations across the US strive to be financially solvent in the process of providing quality and safe care to their patients and this has greatly affected the nation’s healthcare system. One of the ways the “bottom line” focus has changed the healthcare system in the US is increasing the cost of care services. Dieleman et al. (2020) noted that Americans are paying more for their care today than in the last decade due to healthcare organizations’ focus on the bottom line. Healthcare organizations are forced to increase the cost of care services to be able to pay for their human workforce and procure necessary products needed for care providers such as drugs, beds, ambulances, and many more (Ratna, 2020). Healthcare insurance companies have also increased the number of premiums people are
[ANSWERED 2024] Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature
Explain your professional beliefs about this disorder, supporting your rationale with at Assignment Controversy Associated with Personality and Paraphilic Disorders Between 10% and 20% of the population experience personality disorders. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others. Paraphilic disorders are far more common in men than in women, and generally quite chronic, lasting at least two years. Treatment of these disorders usually involves both psychotherapeutic and pharmacologic treatments. In this Assignment, you will explore personality and paraphilic disorders in greater detail. You will research potentially controversial elements of the diagnosis and/or treatment and explain ethical and legal considerations when working with these disorders. To Prepare Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders. Select a specific personality or paraphilic disorder from the DSM-5 to use for this Assignment. Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. The Assignment In 2–3 pages: Explain the controversy that surrounds your selected disorder. Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature. Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder. Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important. By Day 7 of Week 7 Submit your Assignment. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name. Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. REQUIRED SOURCES National Institute for Health and Care Excellence: NICE Guidelines. (2010). Antisocial personality disorder: Prevention and management. https://www.nice.org.uk/guidance/cg77 Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed) Chapter 22, “Personality Disorders” Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell. Chapter 67, “Disorders of Personality” Chapter 68, “Developmental Risk for Psychopathy” Chapter 69, “Gender Dysphoria and Paraphilic Sexual Disorders” (pp. 988–993 only) Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company. Chapter 14, “Personality Disorders” Required Media Buchanan, N. T. (2020, April 13). Lecture 14 part 3: Paraphilic disorders [Video]. YouTube. MDedge. (2020, January 22). Personality disorders with Dr. Frank Yeomans [Video]. YouTube. GRADING RUBRIC In 2–3 pages, address the following: Explain the controversy that surrounds your selected personality or paraphilic disorder. Explain your professional beliefs about your selected disorder, supporting your rationale with at least three scholarly references from the literature.– Explain strategies for maintaining the therapeutic relationship with a client that may present with the disorder.– Finally, explain ethical and legal considerations related to the disorder that you need to bring to your practice and why they are important.– Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. Expert Answer and Explanation Controversy associated with Antisocial Personality Disorder Antisocial Personality Disorder (APD) is one of the different forms of personality disorders, and for the therapists, working with a client with this condition can be a challenge. A significant number of people with APD do not feel their condition is harmful to themselves or even to people close to them, and this is the reason why it can be a challenge for psychotherapists to treat such as client. For the psychotherapist to succeed in working with APD client, they need to build relationship with the client. They can accomplish this by building trust and behaving well towards the client. However, there are various strategies which a provider can adopt to build therapeutic relationships (Buchanan, 2020). It is important to examine these strategies, assess the controversy pertaining to the APD, and provide personal professional beliefs concerning the condition. It is equally important to determine the ethical and legal considerations based on the APD. Controversy that Surrounds the Disorder The APD is controversial, and the treatment of this disorder can be a problem to the therapists. A key reason why the APD raises controversy is that it causes the stigmatization of the patient. The thought of having this disorder can be a stigmatizing experience to the patient, and it can cause the patient not to seek treatment. The individual working with the patient can also contribute to this stigma. The controversy, still, occurs because the APD does not consider the social context or the factors which can influence one’s capacity to cope. A traumatic event during one’s early years can alter an individual’s ability to cope, and because the APD does not take this into account, it can be a challenge to treat someone with the disorder (National Institute for Health and Care Excellence: NICE