Health Medical Homework Help

Respond to at least two colleagues by doing all of the following:

• Offer an analysis of their evaluations and subsequent recommendation. Note both strengths and areas that could be improved.
• Identify areas where your own original recommendations or evaluation was similar to or different from your colleagues’ original evaluation and explain why.
• Be sure to use reference

DB 1—

Marlon—

Post an evaluation of the proposed study design described in the case study file.

The design in the study is a multiple-baseline, single-subject design. The multiple-baseline, single-subject design is a study on a single subject using multiple cases. This study design is used to change one condition to another. The dependent variable is measured repeatedly over time. The single subject study is divided into distinct phases, and the participant is tested under one condition per phase (Plummer et al., 2014). In the multiple-baseline, the researcher establishes a baseline before introducing the treatment. Each participant receives the treatment at a different time. The goal is to determine if the introduction of the intervention is responsible for the change in the condition. If the dependent variable changes when the treatment is introduced for multiple participants—especially when the treatment is introduced at different times for the different participants—it supports the reliability of the results (Plummer et al., 2014).

Explain whether the outcome of Chris’ study with her client George would lead you to adopt the model of case management with solution-focused and task-centered approaches and substantiate your choice.

In the study performed by Chris, a baseline of George’s ability to perform tasks was taken using a 10-point clinical scale. The case manager used clinical rating scales that were adapted from the task-centered model (Plummer et al., 2014). The findings of the study showed the tasks George can perform and identify areas needing more work. A solution-based approach was applied to address the personal mobility problem. The outcomes of the study would lead me to adopt the model of case management with solution-focused and task-centered approaches. Using this approach, other clients who are receiving geriatric case management can be measured when entering the program to determine its effectiveness for older adults.

Provide recommendations for improvements should Chris and her colleagues wish to submit the study to the evidence-based practice registry.

For Chris and her colleagues to submit the study to the evidence-based practice registry, the research will have to be designed like a formal research study. Chris and her colleagues would need to create a formal research design, including research question, sample, research methods, analysis, findings/conclusions, and limitations. Secondly, instead of each of the full-time case managers selecting one client new to the caseload to participate, the study should be performed as a team, so the research can be combined into one study.

Provide a rationale for your recommendations.

Creating a formal research report will support the credibility of the research and the reliability of the findings. Social workers must be trained on conducting formal research, so they are equipped to conduct formal research and generate the right report to publish the findings. Simply providing the results will not support the credibility, reliability, or validity of the research. Because the research involves human subjects, the study will need an approval letter from the Institutional Review Board (IRB) (Wilson et al., 2014). The IRB ensures the rights of human subjects are protected.

References:

Plummer, S.-B., Makris, S., & Brocksen S. (Eds.). (2014b). Social work case studies:

Concentration year. Baltimore, MD: Laureate International Universities Publishing.

[Vital Source e-reader].

DB 2—

Tamikia—

Evaluation of the proposed study design described in the case study file

In the Social Work Research: Single Subject, social worker Chris, identified her widowed 87 year old client, George as a potential candidate for an evaluation of a practice approach for her agency (Plummer, Makris, & Brocksen, 2014). As George presenting problems were identified as recurring physiological issues with back pain and rheumatoid arthritis; psychological issues with grief after the death of his wife, and cognitive impairment associated with dementia (Plummer, Makris, & Brocksen, 2014). The focus of this study was to implement the task-centered model and adapt clinical rating scales to the needs identified in the initial assessment and collaborate with the client to address and evaluate the process (Plummer, Makris, & Brocksen, 2014).

Single-system research (SSR) or single case research has been used to enhance the quality of life for cognitive impaired patients such as those with diagnosis of dementia or Alzheimer’s disease. This approach allows practitioners to implement individualized interventions and produce generalizable knowledge from their research findings (Mattaini, 2010).

As it relates to the expected outcome of Chris’ study with George and whether it would it would lead me to adopt the model of case management with solution-focused and task-centered approaches, I would as George seems to have been identified with some life associated aging processes such as the physiological issues with pain and even aged associated cognitive impairment. However, his hesitation to address the advance directive and issues with grieving led me to believe that he may have some suppressed emotions associated with his wife’s death or just being alone. Implementing interventions that are centered on George that will address his issues individually, I believe is the best approach. SSR has particular strengths for social work research. SSR focuses on the individual system, the individual person, the individual family, and the individual neighborhood, typically the level of analysis of primary interest in social work (Mattaini, 2010).

The recommendation that I would suggest for improvements should Chris and her colleagues wish to submit the study to the evidence-based practice registry is to collect measurable data, establish goals with attainment follow-up, and implement interobserver reliability. Measurable data would formulate facts and uncover patterns of the client’s behavior or issues. Established goals with attainment follow-ups would track and monitor the progress of more than one goal area for the same client/participant system to aggregate scores for the goal/issue. Implementing interobserver reliability would eliminate any inaccuracies as no one will not always observe the same or observers may become too fatigue and accuracy will suffer (Mattaini, 2010).

References

Mattaini, M. A. (2010). Single-system studies. In B. Thyer (Ed.), The handbook of social work research methods (2nd ed., pp. 241–273). Thousand Oaks, CA: Sage. (PDF)

Plummer, S.-B., Makris, S., & Brocksen S. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader]