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How can you incorporate pressure point therapies into nursing practice for pain management. Give examples.

Acupressure is a therapeutical intervention rooted in traditional Chinese medicine but also widely practiced in Korea and Japan. Acupressure can be incorporated in nursing practice for pain management. Pressure point therapies consider symptoms to be an expression of the condition of the person as a whole. Thus, sessions focus not only on relieving pain and discomfort but also on responding to disruptions before they develop into illnesses.

Jin Shin Jyutsu and Jin Shin Do it’s an effective treatment, can be applied as self-help and also by a trained practitioner, who places the fingertips over clothing on designated pressure points to harmonize and restore the energy flow. Rather than doing something to the body, Jin Shin encourages the body to “let go,” which is seen as the path to awakening one’s awareness of harmony within the self and the universe.

A session generally lasts about an hour with the client lying on a table fully clothed. The practitioner’s hands act as “jumper cables” to “kick start” the correct flow of energy. A spot on the shoulder may be held at the same time as a spot on the knee. The practitioner uses special sequences of hand positions to stimulate the circulation of energy. The touch is gentle, is steady, and never involves force. It is generally pain-free; any tenderness in a particular area is caused by a blockage and tends to dissipate as the area is held. Some people may feel hot or cold or feel a sensation in another part of the body than the one where the practitioner is working. Most people experience a sense of deep relaxation with Jin Shin Jyutsu and Jin Shin Do (Waldeck, 2011).

References:

Waldeck, F. (2011). Jin Shin Jyutsu. Munich, Germany: Creative-Story. Wills, P. (2009). Easy Reflexology. Courtenay, BC: Connections.

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Suppose a 17-year-old male was in a sexual relationship with a female in her thirties. This is a willing relationship on both sides, perhaps even a relationship begun by the male. Now, if the genders were reversed and the male was the older member of the couple, the relationship would be considered sexual assault, pure and simple. But, in a situation with an older woman/younger man:

1. what do you think could or should be done? Anything?

2.Should the woman be prosecuted in this case? Should the young man (a willing participant) be considered as an adult, or as still under-aged?

Think again about the scenario as it stands, and then as it would be with reversed gender roles.

Did your opinions change from one to the other, and if so, how? Is this a double standard?

It is wrong for an adult to have a romantic relationship with a minor, even if both parties consent to the arrangement. Tener (2018) mentions that romantic relationships between an adult and minors are legally prohibited. Therefore, irrespective that the underage is male and consensual to the arrangement, the relationship should be reported to law enforcement and the welfare system. The woman should be charged in court to take advantage of a minor and exploit him sexually.

A sexual relationship between an underage male and an adult female is most likely to be perceived as sexual initiation rather than sexual exploitation. Expressly, it is likely that the 17-year-old is the one who pursued the woman. Notwithstanding, Hines and Finkelhor (2007) indicate that the arrangement is still considered statutory rape by law. In this case, the woman should be prosecuted for getting into a sexual relationship with a minor. Indeed, the 17-year-old should still be considered a minor. The law indicates that adults are persons of 18 years and above. Thus, a 17-year-old is still supposed to be under parental care and most likely in school. Moreover, the 17-year-old mind is not yet fully matured to handle the liability of sexual relationships, such as pregnancy or STIs.

A reversed role of the scenario is the most frequent statutory relationship. The law puts similar energy into minor and adult sexual relationships irrespective of which gender is the minor. Nonetheless, underage female and the adult male is more dangerous as the adolescent risks getting pregnant and bearing the financial burden of rearing a child.

References

Hines, D. A., Finkelhor, D. (2007). Statutory sex crime relationships between juveniles and adults: A

review of social scientific research. Aggression and Violent Behavior, 12, 300–314.

https://doi.org/10.1016/j.avb.2006.10.001

Tener, D. (2020). Perspectives on adolescent sexual relations with older persons: A systematic review

of the literature. Trauma, Violence, & Abuse, 21(2), 393–405. https://doi.org/10.1177/1524838018772287

The following is from another student that i have to reply. 

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Question;

Joyce is a 34-year-old woman who has been married 10 years. She has three children, all less than 10 years old: Sheena (age 9), Jack (age 6), and Beth (age 2). Her husband is a prominent attorney. They present an ideal picture of an upper-middle-class family. They live in a fashionable suburb. The husband has been successful to the extent that he has been made a full partner in a large law firm. The family is very active in church, the country club, and various other social organizations. Joyce is an active member of several charitable, civic, and social groups. Joyce’s initial call to the abuse center was vague and guarded. She expressed an interest in inquiring for “another woman” in regard to the purpose of the center. After she had received information and an invitation to call back, a number of weeks elapsed. Joyce’s second call occurred after receiving a severe beating from her husband.

Joyce tells the crisis worker in the phone:”Well, last night he beat me worse than ever. I thought he was really going to kill me this time. It had been building up for the past few weeks. His fuse was getting shorter and shorter, both with me and the kids. It’s his work, I guess. Finally he came home late last night. Dinner was cold. We were supposed to go out, and I guess it was my fault . . . I complained about his being late, and he blew up. Started yelling that he was gonna teach me a lesson. He started hitting me with his fists . . .knocked me down . . . and then started kicking me. I got up and ran into the bathroom. The kids were yelling for him to stop and he cuffed Sheena . . . God, it was horrible! (Wracked with sobs for more than a minute. CW waits.) I’m sorry, I just can’t seem to keep control.”

As the crisis worker:

1-What typical dynamics did you see occurring—denial, guilt, fear, rationalization, withdrawal, and so on—in the victim? How would you as the crisis worker handle them?

What are some of the domestic violence intervention strategies? Pick one and how would you apply it to the scenario

Answer

1

Rationalization could be observed. When talking to the crisis worker, Joyce is observed attempting to explain why his husband became violent with her and her children. She fails to recognize his husband’s violent nature by arguing that his work could have triggered his violence. She also notes that the food was cold, and they were supposed to go about when her husband arrived, which could be why he became angry and violent. Guilt can also be identified; Joyce contemplates whether her husband’s complaints coming home late led to her husband being violent.  

2

Crisis-oriented services and the first response team’s interventions can be provided to Joyce. The first response team comprising trained advocates who accompany the police officers responding to domestic violence calls can effectively deter offenders of legal consequences of violent behavior (Stark & Buzawa, 2009). First response teams also inform the victim about the available community services and resources available. Counseling services can also be provided to Joyce to empower her to regain her sense of personal power. 

Children intervention services are also effective for Joyce’s case. Presently, domestic violence victim service programs incorporate children’s services since they are equally affected by the violence perpetrated both to their mothers and themselves. For instance, both Joyce and her children experienced were physically assaulted. The children intervention services include counseling, support, and education groups where the children are taught how to deal with anger, label their feelings, and developing safety skills.

References

Stark, E., & Buzawa, E. (2009). Violence against women in families and relationships. Praeger/ABC-CLIO.

U.S. Department of Health & Human Services. (2004). Tatutory Rape: A Guide To State Laws And Reporting Requirements. Sexual Intercourse With Minors. U.S. Department of Health & Human Services. Retrieved 27 January 2021, from https://aspe.hhs.gov/report/statutory-rape-guide-state-laws-and-reporting-requirements-summary-current-state-laws/sexual-intercourse-minors.

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.