Write a paper that addresses the following:

1. What is the role of a community health nurse? 
2. How does the community health nurse assist the families of patients in their home settings?
3. What are some of the barriers related to the initiation of home care services in communities?
4. How does living in an urban area versus a rural area affect home care services?

Your paper must be three to four pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Include a minimum of three references.

Assignment: Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

Learning Objectives

Students will:

• Compare structural family therapy to strategic family therapy
• Create structural family maps
• Justify recommendations for family therapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.
• Refer to TherapistAid (2020) in this week’s Learning Resources for guidance on creating a structural family map.

The Assignment

In a 2- to 3-page paper, address the following:

• Summarize the key points of both structural family therapy and strategic family therapy.
• Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
• Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
• Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Assignment 2: Experiential Versus Narrative Family Therapies

This assignment was introduced to you in Week 3.

Although experiential therapy and narrative therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.

Learning Objectives

Students will:

• Compare experiential family therapy to narrative family therapy
• Justify recommendations for family therapy

To prepare:

Students will:

• Compare experiential family therapy to narrative family therapy
• Justify recommendations for family therapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on experiential and family therapies.

The Assignment

In a 2- to 3-page paper, address the following: 

• Summarize the key points of both experiential family therapy and narrative family therapy. 
• Compare experiential family therapy to narrative family therapy, noting the strengths and weaknesses of each.
• Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at  http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Part 2: Family Genogram

Develop a genogram for the client’s family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

What are your thoughts 

When following and discussing problems with my preceptor we both had similar problems in common within our facilities. One of the major problems is readmission rates. Patients on the behavioral health unit have poor follow up care. In Texas there is not a lot of options for mental health outpatient, especially for those who are indigent. So case managers and social workers struggle to find good follow up care. “Medicare states that certain diseases will have decreased funds if patients are readmitted within 30 days, behavioral health patients somewhat fall under that umbrella.”(CMS,2020). These patients reimbursements are lowed if they are readmitted. The facilities can often struggle finically from these lower rates. One nurse implication for this would be to make sure to start teaching the patient about medication management as soon as the patient is admitted. If patients feel that they can manage their symptoms and understand depression and suicide and go to therapy to get to the core of what is going on then they can manage these problems at home and find support from family or friends they have a lower readmission rate. Also involving the family in the care and medication management helps with managing behaviors. Reaching out to the patients primary care physicians can also help with follow up treatments. 

Another problem that we discussed is one that I feel happens everywhere, nurse burnout causing a shortage. On our units we often have to work overtime due to not having enough staff. When we are working over our three 12 hour shifts most of us start to get burnout and eventually change departments or quit. This happen throughout most units in a facility. Another nursing implication for this is to help build team moral, the nurses who start to experience burnout should go to the team leads and be able to express their feelings. The managers in the units should utilize PRN employees or hire more PRN staff to help fill in the holes in the schedule. Funding doesn’t always allow for this but as the advocator for the unit they can reach out to the float pool and help so full time nurses can have the days off that are needed sometimes. 

Fermentation is one of the oldest food preservative methods in history.

1. Find three foods in your house that are produced by fermentation and yield positive health benefits to the human body.
2. What is the shelf life of these products?
3. What are the microbes responsible for the fermentation products and describe the fermentation products found in your foods that impacts flavor, shelf life and health benefits?
4. What are the starting substrates for the fermentation products in your food samples?
5. What are the health benefits of the fermentation products?

Please be sure to validate your opinions and ideas with citations and references in APA format.