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Effect of Stress on University Students
Effect of Stress on University Students
Effect of Stress on University Students
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The client is a 19 years old, Vietnamese-American female. She is in her second year of pre-med school. Her family immigrant to USA before she was born. She lives with her mother, father, sister, and, her grandparents. They speak Vietnamese at home, and, she knows how to read, and, write Vietnamese. The client, and, her family practice Buddhism. She looked down, and, mumbled at first, but, she began to make short eye contact as the session progressed. She dressed well, she bites her finger nails frequency, and, unintentionally during sessions. The client refers to me by her college counselor. The client mentioned that she is “nervous”, and, “stressed” when she talks with her opposite sex classmates, or, professors. She mentioned that she is
...ulture is changing, Hmong are not all the same, importance of family, privacy issues, mental health issues, and small talk is important (Barrett et al., 1998, 181-182) . Overall, Barrett and others concluded that in order to improve interaction between patient and doctor all they have to do is follow these easy steps. First, is to be kind and have a positive attitude towards the patient and interpreter. Second, learn about each other’s cultures prior to meeting, to better understand each other. Third, better explain diagnosis and treatment options to patients. Fourth, improve translation providers need to get better interpreters who could concisely explain the consultation. Fifth, involve the family to make more thorough decisions. Sixth, respect patient’s decisions and there are still other alternatives to improve interaction (Barrett et al., 1998, 182-183).
In the novel, “The spirit catches you and you fall down”, Anne Fadiman was brilliantly able to capture how communication between other cultures takes place in the medical community. She writes about the experience of a Hmong family, the Lee’s, to portray the dissimilarities between two distinct cultures, Hmong and American. Throughout the novel she takes us on a rollercoaster of a journey as problems arise due to many barriers that naturally occur when collaborating two very divergent ways of life. Unfortunately the journey she takes us on does not come with a happy ending as we all expect. the edifying friction between the young girl’s parents and her doctors caused her to wasted away because of medical conditions, epilepsy and septic shock, which could have been treatable. Nevertheless, although Fadiman’s book depicts an unambiguous state of affairs, it is an eye opener to the nuisance of cultural conflict that can be practical to all circumstances and can be utilized by all nurses to provide cultural competent care.
For years refugees have come to America from all over the globe coming from Syria, Vietnam, Iraq, and even Australia. A refugee is different than an immigrant, in such a way that they are basically forced to leave their country in order to escape war, persecution, or a natural disaster. Unlike immigrants who have been here for a long time like the Mexicans, or the Japanese, the Vietnamese have been in the U.S for around thirty years or less. After the Vietnam War, the Vietnamese feared for their life and were forced to leave their county for liberty. The Vietnamese arrived here as refugees, not voluntary immigrants.
Allison is a 28 year old White Caucasian who is in her first-year doctoral student, doing a practicum at a community agency in a predominantly Latino neighborhood in a large urban area. Allison has a client called Carmen. Carmen is a 19 year-old Puerto Rican. Carmen and her family moved from Puerto Rico when she was 10 years old. Carmen is single, lives with her parents, and attends a nearby community college. For several sessions, Allison and Carmen had been looking on career options that Carmen has after she obtains her associates degree. In one of these sessions, Allison reviewed with Carmen various career options. After each suggestion that Allison gave to Carmen, Carmen would respond that she is interested, but she needs to consult
Cunningham, M. (2012). Integrating Spirituality in Clinical Social Work Practice: Walking the Labyrinth (1 ed.). Upper Saddle River: Pearson Education Inc.
As our textbook states, “Communication includes the willingness of individuals to share their thoughts and feelings” (Purnell, 2103, p. 21). To that end, the Hmong people are primarily illiterate. For this culture, they have a belief that Americans are rude because direct eye contact is maintained when conversing, as well as asking direct questions. In order for there to be successful education regarding the risks of cupping or coining as well as needle pricks, it is important to know that when speaking to someone of the Hmong culture to use quick glances without starting and to initiate a light conversation prior to asking anything regarding their beliefs, health, etc. The Purnell Model of Cultural Competence states that the domain of high-risk behaviors is one area that healthcare providers can make a significant impact on a patient’s health status (Purnell, 2013, p. 30). Advice to the parents, under these circumstances along with other obstacles that could potentially be faced due to the very different cultural aspects, would best be given via one-on-one or through family counseling techniques. From what I have learned so far from our readings, spirituality plays a very important role in a cultures health and well-being. Knowing the beliefs pertinent to the culture you are treating allows you as the provider to better assist them to attaining better health and well-being. Trust is also paramount and it is very clear that to interfere with a person’s spirituality could possibly hinder their physical recovery and actually cause physical
Interviewing and research skills are needed within the social work profession. Effective communication skills are one of the most crucial components of a social worker’s job. Every day, social workers must communicate with clients to gain information, convey critical information and make important decisions (Zeiger, 2017). This interview experience was an opportunity to explore the daily challenges and rewards of a licensed social worker. I was excited for the opportunity to interview a social worker in the gerontology sector as this is a specialty I am considering. This meeting allowed me to explore the educational steps of being a social worker, practices of the agency, the clients who are served, and the challenges the agency has.
Captain Rob Geis agreed to be interviewed and share his experiences with the next generation of Social Workers. Native to Ohio, he graduated High School in 1979, he continued his education at Ohio State University from 1982-1986, completing his Masters in Social Work. For the past 24 years, he has served as a Social Worker in the United States Army. In his current position he is responsible for the Department of Social Work Services. Previous positions have included: two assignments as a Division Social Worker, Medical Inpatient Social Worker, Chief of Social Work, Division Chief of Mental Health, Clinical Director of Army Substance Abuse Program, Combat Operation Stress Control Commander, and General Staff Officer (Geis, 2012). Academic positions have included both, the Army Long Term Health Education and Training (LTHET) as well as the Command and General Staff College.
The multicultural “melting pot” of this nation, introduces a variety of race, religious, socioeconomic, gender, and sexual oriented differences. These differences have often fueled many discriminatory debates based solely on the differences perceived by individuality and personal belief systems throughout a brief history. It’s these perceptions of beliefs that have often disabled the efforts to effectively render successful counseling for the individual seeking healthy change. D 'Andrea, Daniels & Heck (1991) note that an increasing recognition within professional ranks shows that many of the existing psychological and counseling training paradigms do not adequately address the mental health needs of individuals from differing cultures and special backgrounds. Though education has become more commonplace, there is still a growing need to keep up with cultural blending as society continues to evolve in order to render proper care that is sensitive to the need of the client. Therapists must continue to increase personal awareness of at least the basic root of a client’s cultural belief in order to better understand how adaption and cohesion in therapy may take place that support the individual. Yet awareness of the client’s cultural orientation is a addendum to the necessary self
I learnt that the use of words or expressions such as ‘that’s brilliant’ can be misinterpreted by some clients to mean that you agree with what they have done. I often use expressions like that in conversations. I am now aware that it can be misunderstood and would like to guard against it. We watched a Youtube video, two social workers called out to a service user flat for an initial assessment. They were refused entry by a friend because he had bad experience with social workers in the past and his child was taken away.
One client came to me because she was having difficulty with her female peers, not being able to fit in, not feeling accepted in the group. As I gathered more information from her, what was evident is that her peers had developed more rapidly than she had. So she was more in the younger tween phase, and the other girls, the way she described were moving much faster into adolescence (p.
Cultural Competence is being able to engage in respectful and effective practice with diverse individuals, families, and communities, preserving their dignity and affirming their worth. A social worker should be aware of their clients’ cultural and environmental contexts, in order to know a client’s strengths, but cultural competence is never fully realized, achieved, or completed, but rather cultural competence is a lifelong process for social workers who will always encounter diverse clients and new situations in their practice. Social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients’ cultures. Social workers should obtain education
I used rephrasing as a part of understanding the reason for the client’s visit and repeated the information in a way that we both could understand. The client was able to respond through the questions that I asked her in regards to her situation. I want to get a clear understanding without leaving out valuable information. In the three sessions my intentions were to make sure that what she gave me over the phone matches what she says in the interview. I made sure that when my client was speaking, I took notes on the new information or the information that was not covered in any of the previous sessions. Each session was based upon reflection because I had to make sure progress was being made or not. When my client began to discuss things in a way in which I could not understand, I was able to interpret the information in a way that she and I both understood and agreed upon. The moment an initial contact was made, I started giving my client information on informed consent forms, who I was and the number of years of my social work profession, policies and
... different language than Chinese. By taking the time to educate myself about my client’s culture, I can provide more thorough care for my client. Patient care can be run much more smoothly if the nurse is educated about the client’s preferences. The patient might not be making eye contact because she believes it is disrespectful. She may also be more private and does not like to disclose personal information. Culture plays a big role in the type of care that a patient receives. It determines how comfortable a patient is with certain things, which can speed up their healing process. There are many things to cultural considerations when caring for a patient. This includes their language, religion, family, and the client’s values. A nurse must consider all of the patient’s preferences and beliefs in order to provide their client with the best culturally competent care.
It is imperative that social workers become knowledgeable about their clients’ cultures and are culturally sensitive. In learning about their clients’ cultures, social workers need to be aware of how powerful and significant culture is in relating to clients’ behavior, values, and beliefs. Becoming culturally competent requires the ability to integrate awareness, knowledge, and skills while maintaining a positive working relationship with the client (Sue and Zane, 1987). Today, the concerns regarding cultural competency continue to accentuate the importance of preparing social workers for a diversified society.