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    follow all directions – 2 years ago **files (2)** – ## Week7Discussio1.docx – ## ethics-code-2024.pdf **## Week7Discussio1.docx** Week 7 Discussion: Practicing Ethics Practicing ethics is central to your role a HSPP and is essential for the profession as a whole to maintain credibility and trust wit…

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    follow all directions

    – 2 years ago

    **files (2)**

    – ## Week7Discussio1.docx

    – ## ethics-code-2024.pdf

    **## Week7Discussio1.docx**

    Week 7 Discussion: Practicing Ethics

    Practicing ethics is central to your role a HSPP and is essential for the profession as a whole to maintain credibility and trust with service users and the wider public. Practicing ethics can be challenging when two ethical decisions may be in conflict. For example, you have to protect a service user’s right to confidentiality until doing so could cause harm to the service user or others. Knowing if a service user is going to act in a way that may be harmful to themselves or others may require a judgment call based on consultation with colleagues or supervisors. How do you err on the side of caution, when the consequences of either decision may be undesirable: the potential harm or danger the service user could cause to themselves or others; or the violation of confidentiality that could damage the service user’s relationship to the HSPP or other providers?

    For this Discussion, you will apply ethical standards to a critical incident and consider how to analyze potential conflicts between ethical standards and legal obligations.

    · Review the Learning Resources and Course Announcements.

    · Review the Ethical Standards for Human Services Professionals

    · Research news articles from the past year for a critical incident that highlights a situation where an ethical choice may conflict with the legal obligations for HSPPs.

    · Choose one of the Ethical Standards found within the NOHS Ethical Standards that relates to the critical incident from the past year.

    · Review the Human Services Ethical Decision Model  (Eber, 2018,p.34) in the Learning Resources.

    By Day 4

    **Post a response to the following:**

    ·
    **Briefly describe a critical incident from the news in the past year and how it relates to one of the Ethical Standards found within the NOHS Ethical Standards.**

    ·
    **Explain why the ethical standard could be challenging to apply in the critical incident and how it may conflict with an HSPP’s legal obligations.**

    ·
    **Explain which step in the human services ethical decision model (Eber, 2018) would you find most challenging if you were confronted with a similar situation. In your explanation, include who you would consult to assist in your decision-making process, and whether you think the situation requires you to err on the side of your ethical or legal obligations. Provide a rationale for your choice.**

    Eber, P. A. (2018).
    [A pedagogical approach to ethical decision making in a human services curriculumLinks to an external site.](http://www.nationalhumanservices.org/assets/Conference/2017%20NOHS%20Proceedings%20Final.pdf), presented at NOHS National Conference. Des Moines, IA, 2017: National Organizations for Human Services.

    **Note:** Go to page 34 of the document to find the Human Services Ethical Decision Model.

    National Organization for Human Services. (2015).
    [Ethical standards for human services professionals.Links to an external site.](https://www.nationalhumanservices.org/ethical-standards-for-hs-professionals)

    Tarvydas, V. M., Levers, L. L., & Teahen, P. R. (2017).
    [Ethical guidelines for mass trauma and complex humanitarian emergencies.Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=123715852&site=ehost-live&scope=site&authtype=shib&custid=s6527200) _Journal of Counseling & Development,_ 95(3), 260-268.

    **## ethics-code-2024.pdf**

    Ethical Standards for Human Services Professionals

    National Organization for Human Services adopted 2024

    Ethical Standards Subjects

    Preamble Responsibility to the Public & Society

    Responsibility to Clients Responsibility to Employers

    Responsibility to Colleagues Responsibility to Self

    Responsibility to the Profession Responsibility to Students

    PREAMBLE

    The field of human services is broadly defined, uniquely approaching the objective of meeting human
    needs through an interdisciplinary knowledge base, focusing on prevention as well as remediation of
    problems, and maintaining a commitment to improving the overall quality of life of service populations. The
    human services profession is one which promotes improved service delivery systems by addressing not
    only the quality of direct services, but also by seeking to improve accessibility, accountability, and
    coordination among professionals and agencies in service delivery.

    Ethics Code Purpose:

    The purpose of this ethics code is to establish a set of principles and standards to guide decision-making
    and conduct for all human services professionals. It serves to safeguard the well-being of clients, uphold
    the integrity of the profession, and foster trust and respect in all professional relationships. This code is
    designed to promote excellence in service delivery, ensure ethical practice in diverse social contexts, and
    address ethical dilemmas with professionalism and moral clarity. By adhering to this code, members
    commit to the highest standards of ethical behavior of their field which transcend legal requirements, foster
    enduring trust and respect, and advance the principles of human dignity, social justice, and responsible
    stewardship of the care placed in them by clients and society towards making profound contributions to
    their well-being.

    Persons who use this code include members of the National Organization for Human Services, students in
    relevant academic degree programs, faculty in those same programs, researchers, administrators,
    practitioners, employers, supervisors, and others in community agencies who identify with the human
    services field (henceforth all are referred to throughout this code as human service professionals). The
    ethical standards are organized according to defined professional domains.

    This ethics code emphasizes our unwavering commitment to ethical decision-making, a cornerstone of the
    human services profession. This commitment obliges all human service professionals to engage in
    continuous reflection, prioritize the welfare and rights of service recipients, and navigate complex ethical
    landscapes with diligence and moral clarity. It mandates the seeking of counsel and adherence to
    established ethical guidelines when confronting dilemmas, and ensures decisions are made with integrity
    and transparency.

    RESPONSIBILITY TO CLIENTS

    STANDARD 1 Human service professionals recognize and build on client and community strengths.

    STANDARD 2 At the beginning of the helping relationship, human service professionals obtain informed
    consent for services from clients. Clients should be informed that they may withdraw consent at any time
    and can ask questions before agreeing to the services. Clients who are unable to give consent should have
    those who are legally responsible for them review an informed consent statement document and provide
    appropriate consent. In the case of mandated services, human service professionals explain to clients their
    right to consent, including limitations to confidentiality and privacy, and possible consequences from
    service refusal.

    STANDARD 3 Human service professionals protect the client's right to privacy and confidentiality except
    when such confidentiality would cause serious harm to the client or others, when agency guidelines state
    otherwise, or under other stated conditions (e.g., local, state, or federal laws). Human service professionals
    inform clients of the limits of confidentiality prior to the onset of the helping relationship.

    STANDARD 4 When a human service professional suspects a client's behavior may endanger themselves
    or others, they must take appropriate and professional actions to ensure safety, which may include
    consulting, seeking supervision, or, in accordance with state and federal laws, breaching confidentiality.

    STANDARD 5 Human service professionals recognize the potential harm and impaired judgment resulting
    from dual or multiple relationships with clients. If such relationships cannot be avoided, professionals must
    assess whether to limit or forego the professional relationship and make appropriate referrals as needed.

    STANDARD 6 Human service professionals must not engage in sexual or romantic relationships with
    current clients. In the case of former clients, their friends, or family, professionals must thoroughly assess
    any potential harm or exploitative dynamics before considering such relationships.

    STANDARD 7 Human service professionals ensure that their values or biases are not imposed upon their
    clients.

    STANDARD 8 Human service professionals are responsible for safeguarding the integrity, safety, and
    security of client records. Client information, whether in written or electronic form, can only be shared with
    other professionals with the client's prior written consent, unless required or allowed by law or during
    professional supervision.

    STANDARD 9 When providing services through the use of technology, human service professionals take
    precautions to ensure and maintain confidentiality and comply with all relevant laws and requirements
    regarding storing, transmitting, and retrieving data. In addition, human service professionals ensure that

    clients are aware of any issues and concerns related to confidentiality, service issues, and how technology
    might negatively or positively impact the helping relationship.

    RESPONSIBILITY TO THE PUBLIC AND SOCIETY

    STANDARD 10 Human service professionals are committed to delivering services equitably, ensuring
    inclusion and accessibility, and respective diversity by valuing and affirming differences in age, ethnicity,
    culture, race, ability, gender, gender identity, gender expression, language preference, religion, sexual
    orientation, socioeconomic status, nationality, and other identities associated with historically marginalized
    groups.

    STANDARD 11 Human service professionals are knowledgeable about their cultures and communities
    within which they practice. They are aware of diversity in society and its impact on the community as well
    as individuals within the community. They respect the cultures and beliefs of individuals and groups.

    STANDARD 12 Human service professionals have a duty to be informed about relevant local, state, and
    federal laws. They bear the responsibility to advocate for amendments or changes in regulations and
    statutes when they conflict with the ethical standards and/or the rights of clients.

    STANDARD 13 Human service professionals stay informed about current social issues as they affect
    clients and communities. If appropriate to the helping relationship, they share this information with clients,
    groups, and communities as part of their work.

    STANDARD 14 Human service professionals are aware of social and political issues, comprehend their
    effects on clients, and recognize how the impact of such issues vary among individuals from diverse
    backgrounds.

    STANDARD 15 Human service professionals must establish processes to identify client needs and assets,
    actively draw attention to them, and facilitate planning and advocacy at individual, community, and societal
    levels to address them.

    STANDARD 16 Human service professionals advocate for social justice and seek to eliminate oppression.
    They raise awareness about systems of discrimination and inequity that affect historically minoritized and
    marginalized groups and advocate for systemic change to address these inequalities within their
    workplace, communities, and legislative systems.

    STANDARD 17 Human service professionals accurately represent the effectiveness of their treatment
    programs, interventions, and techniques, substantiating claims with empirical data and/or sound theoretical
    inferences whenever feasible.

    RESPONSIBILITY TO COLLEAGUES

    STANDARD 18 Human service professionals avoid duplicating another professional's helping relationship
    with a client. With written permission from their client, human service professionals consult with other
    professionals who are assisting the client in a different type of relationship when it is in the best interest of
    the client to do so.

    STANDARD 19 When human service professionals have a conflict with a colleague, they first seek out the
    colleague to manage the problem. If this effort fails, the professional then seeks the assistance of
    supervisors, consultants, or other professionals in efforts to address the conflict.

    STANDARD 20 Human service professionals have a duty to respond appropriately to unethical behavior of
    colleagues. This generally means first discussing the issue directly with the colleague in question, unless
    there are extenuating circumstances, such as concerns about repercussions due to an existing power
    relationship. If a satisfactory resolution is not reached or extenuating circumstances exist, the professional
    should report the colleague's behavior to a supervisor. If the potential unethical behavior is seen as
    egregious, then the individual should report the behavior to the colleague’s professional association,
    credentialing board, police, and/or other administrators or boards, as appropriate.

    STANDARD 21 Clients have a right to information discussed between their helper and other professionals,
    except when state or federal law notes otherwise. All information discussed among professionals should be
    kept confidential from all others, except when withholding information would lead to harm to clients, others,
    or communities.

    RESPONSIBILITY TO EMPLOYERS

    STANDARD 22 Human service professionals honor their commitments to employers to the fullest extent
    possible.

    STANDARD 23 Human service professionals participate in efforts to establish and maintain employment
    conditions which are conducive to high quality client services. Whenever possible, they assist in evaluating
    the effectiveness of the agency through reliable and valid assessment measures.

    STANDARD 24 When a conflict arises between fulfilling the responsibility to the employer and the
    responsibility to the client, human service professionals work with all involved to manage the conflict.

    RESPONSIBILITY TO THE PROFESSION

    STANDARD 25 Human service professionals seek the training, experience, education, and supervision
    necessary to ensure their effectiveness in working with culturally diverse individuals, families, and
    communities.

    STANDARD 26 Human service professionals provide services only within their expertise and scope of
    practice, recognizing the limits to their knowledge and skills.

    STANDARD 27 Human service professionals must accurately represent their qualifications,
    encompassing, but not limited to, their skills, education, credentials, training, and areas of expertise, to the
    client, colleagues, and members of the public. When any intentional or accidental misrepresentation is
    discovered, they must take immediate action to rectify the situation.

    STANDARD 28 Human service professionals must pursue relevant consultation and supervision to guide
    their decision-making in the face of legal, ethical, or other complex dilemmas.

    STANDARD 29 Human service professionals promote cooperation across related disciplines, aiming to
    enhance professional development and maximize the benefits of inter-professional collaboration for clients
    at all levels.

    STANDARD 30 Human service professionals are committed to the continued development of the field.
    They promote professional association memberships, support research initiatives, foster educational
    advancement, advocate for appropriate legislative actions, and engage in other professional development
    activities.

    STANDARD 31 Human service professionals continually seek out new and effective approaches to
    enhance their professional abilities and use techniques that are evidence-based. When practicing
    techniques that are experimental or new, they inform clients of the status of such techniques as well as the
    possible risks and gain client consent for their usage.

    STANDARD 32 Human service professionals engage in research that upholds ethical standards, meets
    institutional standards, and maintains scientific integrity. Such research accounts for cross-cultural and
    diversity bias and is reported with transparency regarding its limitations.

    STANDARD 33 Human service professionals exercise discretion in sharing personal information on social
    media, knowing that they reflect the profession of human services. They also reflect on how their public
    behavior might impact their personal reputation and the perception of their professional community.

    RESPONSIBILITY TO SELF

    STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse
    backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their
    relationships with others and commit to delivering culturally competent services to all clients.

    STANDARD 35 Human service professionals are committed to their personal growth and well-being to
    ensure they provide the highest quality service to clients. Should they become aware of any physical,
    emotional, or psychological impediments to their ability to serve clients effectively, they direct clients to
    appropriate alternative services and seek measures for personal remediation of such impediments via
    consultation, treatment, or education.

    STANDARD 36 Human service professionals are dedicated to lifelong learning, consistently seeking to
    enhance their knowledge and skills to better serve their clients.

    RESPONSIBILITY TO STUDENTS

    STANDARD 37 Human service educators develop and implement teaching methodologies that are
    culturally sensitive, using pedagogical approaches that recognize student’s diverse backgrounds and
    perspectives.

    STANDARD 38 Human service educators commit to fostering equity and inclusion, actively employing
    measures to ensure educational accessibility for students of all abilities.

    STANDARD 39 Human service educators uphold high standards of scholarship in their academic,
    pedagogical, and professional engagements. They remain abreast of developments in the field through
    active participation in professional associations, attendance at workshops and conferences, and
    engagement in both the review and conduct of research.

    STANDARD 40 Human service educators recognize and acknowledge the contributions of students to
    their work including, but not limited to, case material, grants, workshops, research, publications, and other
    related activities.

    STANDARD 41 Human service educators monitor students' field experiences to ensure the quality of the
    placement site, the supervisory experience, and that the educational outcomes align with the objectives of
    personal, professional, academic, career, and civic development of the student. When students experience
    potentially harmful situations during field placements, educators provide appropriate investigations and
    respond as necessary to safeguard the student.

    STANDARD 42 Human service educators establish and uphold appropriate guidelines regarding student
    disclosure of sensitive or personal information. This involves providing students with advance notice of any
    activities requiring self-disclosure, offering students the option to opt-out of in-depth self-disclosure when
    reasonable, and ensuring that there are processes in place to discuss and debrief these activities.

    STANDARD 43 Human service educators acknowledge the inherent power imbalance in their relationships
    with students and are committed to defining and upholding clear ethical and professional boundaries. This
    commitment includes avoiding any behavior that is demeaning, embarrassing, or exploitative. Human
    service educators are dedicated to treating all students with fairness and equity, actively working to
    eliminate discrimination in all forms, and ensuring a respectful and inclusive educational environment.

    STANDARD 44 Human service educators ensure that students are familiar with, guided by, and held
    accountable to the ethical standards and policies established by their academic program or department,
    the specific guidelines outlined in the course syllabus by the instructor, the expectations of their advisors,
    and the Ethical Standards of Human Service Professionals.

    Copyright © 2024 National Organization for Human Services. All rights reserved. Note: This document may
    be reproduced in its entirety without permission for non-commercial purposes only. Any reproduction,
    modification, distribution, transmission, or commercial use of this document, or any part thereof, without prior
    written permission is strictly prohibited.

    – Ethical Standards for Human Services Professionals
    – National Organization for Human Services adopted 2024
    – Preamble
    – Responsibility to the Public and Society
    – Responsibility to Colleagues
    – Responsibility to Employers
    – Responsibility to the Profession
    – Responsibility to Self
    – STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their relationships with others and commit to delivering culturally competent services to all clients.
    – Responsibility to Students

    **## ethics-code-2024.pdf**

    Ethical Standards for Human Services Professionals

    National Organization for Human Services adopted 2024

    Ethical Standards Subjects

    Preamble Responsibility to the Public & Society

    Responsibility to Clients Responsibility to Employers

    Responsibility to Colleagues Responsibility to Self

    Responsibility to the Profession Responsibility to Students

    PREAMBLE

    The field of human services is broadly defined, uniquely approaching the objective of meeting human
    needs through an interdisciplinary knowledge base, focusing on prevention as well as remediation of
    problems, and maintaining a commitment to improving the overall quality of life of service populations. The
    human services profession is one which promotes improved service delivery systems by addressing not
    only the quality of direct services, but also by seeking to improve accessibility, accountability, and
    coordination among professionals and agencies in service delivery.

    Ethics Code Purpose:

    The purpose of this ethics code is to establish a set of principles and standards to guide decision-making
    and conduct for all human services professionals. It serves to safeguard the well-being of clients, uphold
    the integrity of the profession, and foster trust and respect in all professional relationships. This code is
    designed to promote excellence in service delivery, ensure ethical practice in diverse social contexts, and
    address ethical dilemmas with professionalism and moral clarity. By adhering to this code, members
    commit to the highest standards of ethical behavior of their field which transcend legal requirements, foster
    enduring trust and respect, and advance the principles of human dignity, social justice, and responsible
    stewardship of the care placed in them by clients and society towards making profound contributions to
    their well-being.

    Persons who use this code include members of the National Organization for Human Services, students in
    relevant academic degree programs, faculty in those same programs, researchers, administrators,
    practitioners, employers, supervisors, and others in community agencies who identify with the human
    services field (henceforth all are referred to throughout this code as human service professionals). The
    ethical standards are organized according to defined professional domains.

    This ethics code emphasizes our unwavering commitment to ethical decision-making, a cornerstone of the
    human services profession. This commitment obliges all human service professionals to engage in
    continuous reflection, prioritize the welfare and rights of service recipients, and navigate complex ethical
    landscapes with diligence and moral clarity. It mandates the seeking of counsel and adherence to
    established ethical guidelines when confronting dilemmas, and ensures decisions are made with integrity
    and transparency.

    RESPONSIBILITY TO CLIENTS

    STANDARD 1 Human service professionals recognize and build on client and community strengths.

    STANDARD 2 At the beginning of the helping relationship, human service professionals obtain informed
    consent for services from clients. Clients should be informed that they may withdraw consent at any time
    and can ask questions before agreeing to the services. Clients who are unable to give consent should have
    those who are legally responsible for them review an informed consent statement document and provide
    appropriate consent. In the case of mandated services, human service professionals explain to clients their
    right to consent, including limitations to confidentiality and privacy, and possible consequences from
    service refusal.

    STANDARD 3 Human service professionals protect the client's right to privacy and confidentiality except
    when such confidentiality would cause serious harm to the client or others, when agency guidelines state
    otherwise, or under other stated conditions (e.g., local, state, or federal laws). Human service professionals
    inform clients of the limits of confidentiality prior to the onset of the helping relationship.

    STANDARD 4 When a human service professional suspects a client's behavior may endanger themselves
    or others, they must take appropriate and professional actions to ensure safety, which may include
    consulting, seeking supervision, or, in accordance with state and federal laws, breaching confidentiality.

    STANDARD 5 Human service professionals recognize the potential harm and impaired judgment resulting
    from dual or multiple relationships with clients. If such relationships cannot be avoided, professionals must
    assess whether to limit or forego the professional relationship and make appropriate referrals as needed.

    STANDARD 6 Human service professionals must not engage in sexual or romantic relationships with
    current clients. In the case of former clients, their friends, or family, professionals must thoroughly assess
    any potential harm or exploitative dynamics before considering such relationships.

    STANDARD 7 Human service professionals ensure that their values or biases are not imposed upon their
    clients.

    STANDARD 8 Human service professionals are responsible for safeguarding the integrity, safety, and
    security of client records. Client information, whether in written or electronic form, can only be shared with
    other professionals with the client's prior written consent, unless required or allowed by law or during
    professional supervision.

    STANDARD 9 When providing services through the use of technology, human service professionals take
    precautions to ensure and maintain confidentiality and comply with all relevant laws and requirements
    regarding storing, transmitting, and retrieving data. In addition, human service professionals ensure that

    clients are aware of any issues and concerns related to confidentiality, service issues, and how technology
    might negatively or positively impact the helping relationship.

    RESPONSIBILITY TO THE PUBLIC AND SOCIETY

    STANDARD 10 Human service professionals are committed to delivering services equitably, ensuring
    inclusion and accessibility, and respective diversity by valuing and affirming differences in age, ethnicity,
    culture, race, ability, gender, gender identity, gender expression, language preference, religion, sexual
    orientation, socioeconomic status, nationality, and other identities associated with historically marginalized
    groups.

    STANDARD 11 Human service professionals are knowledgeable about their cultures and communities
    within which they practice. They are aware of diversity in society and its impact on the community as well
    as individuals within the community. They respect the cultures and beliefs of individuals and groups.

    STANDARD 12 Human service professionals have a duty to be informed about relevant local, state, and
    federal laws. They bear the responsibility to advocate for amendments or changes in regulations and
    statutes when they conflict with the ethical standards and/or the rights of clients.

    STANDARD 13 Human service professionals stay informed about current social issues as they affect
    clients and communities. If appropriate to the helping relationship, they share this information with clients,
    groups, and communities as part of their work.

    STANDARD 14 Human service professionals are aware of social and political issues, comprehend their
    effects on clients, and recognize how the impact of such issues vary among individuals from diverse
    backgrounds.

    STANDARD 15 Human service professionals must establish processes to identify client needs and assets,
    actively draw attention to them, and facilitate planning and advocacy at individual, community, and societal
    levels to address them.

    STANDARD 16 Human service professionals advocate for social justice and seek to eliminate oppression.
    They raise awareness about systems of discrimination and inequity that affect historically minoritized and
    marginalized groups and advocate for systemic change to address these inequalities within their
    workplace, communities, and legislative systems.

    STANDARD 17 Human service professionals accurately represent the effectiveness of their treatment
    programs, interventions, and techniques, substantiating claims with empirical data and/or sound theoretical
    inferences whenever feasible.

    RESPONSIBILITY TO COLLEAGUES

    STANDARD 18 Human service professionals avoid duplicating another professional's helping relationship
    with a client. With written permission from their client, human service professionals consult with other
    professionals who are assisting the client in a different type of relationship when it is in the best interest of
    the client to do so.

    STANDARD 19 When human service professionals have a conflict with a colleague, they first seek out the
    colleague to manage the problem. If this effort fails, the professional then seeks the assistance of
    supervisors, consultants, or other professionals in efforts to address the conflict.

    STANDARD 20 Human service professionals have a duty to respond appropriately to unethical behavior of
    colleagues. This generally means first discussing the issue directly with the colleague in question, unless
    there are extenuating circumstances, such as concerns about repercussions due to an existing power
    relationship. If a satisfactory resolution is not reached or extenuating circumstances exist, the professional
    should report the colleague's behavior to a supervisor. If the potential unethical behavior is seen as
    egregious, then the individual should report the behavior to the colleague’s professional association,
    credentialing board, police, and/or other administrators or boards, as appropriate.

    STANDARD 21 Clients have a right to information discussed between their helper and other professionals,
    except when state or federal law notes otherwise. All information discussed among professionals should be
    kept confidential from all others, except when withholding information would lead to harm to clients, others,
    or communities.

    RESPONSIBILITY TO EMPLOYERS

    STANDARD 22 Human service professionals honor their commitments to employers to the fullest extent
    possible.

    STANDARD 23 Human service professionals participate in efforts to establish and maintain employment
    conditions which are conducive to high quality client services. Whenever possible, they assist in evaluating
    the effectiveness of the agency through reliable and valid assessment measures.

    STANDARD 24 When a conflict arises between fulfilling the responsibility to the employer and the
    responsibility to the client, human service professionals work with all involved to manage the conflict.

    RESPONSIBILITY TO THE PROFESSION

    STANDARD 25 Human service professionals seek the training, experience, education, and supervision
    necessary to ensure their effectiveness in working with culturally diverse individuals, families, and
    communities.

    STANDARD 26 Human service professionals provide services only within their expertise and scope of
    practice, recognizing the limits to their knowledge and skills.

    STANDARD 27 Human service professionals must accurately represent their qualifications,
    encompassing, but not limited to, their skills, education, credentials, training, and areas of expertise, to the
    client, colleagues, and members of the public. When any intentional or accidental misrepresentation is
    discovered, they must take immediate action to rectify the situation.

    STANDARD 28 Human service professionals must pursue relevant consultation and supervision to guide
    their decision-making in the face of legal, ethical, or other complex dilemmas.

    STANDARD 29 Human service professionals promote cooperation across related disciplines, aiming to
    enhance professional development and maximize the benefits of inter-professional collaboration for clients
    at all levels.

    STANDARD 30 Human service professionals are committed to the continued development of the field.
    They promote professional association memberships, support research initiatives, foster educational
    advancement, advocate for appropriate legislative actions, and engage in other professional development
    activities.

    STANDARD 31 Human service professionals continually seek out new and effective approaches to
    enhance their professional abilities and use techniques that are evidence-based. When practicing
    techniques that are experimental or new, they inform clients of the status of such techniques as well as the
    possible risks and gain client consent for their usage.

    STANDARD 32 Human service professionals engage in research that upholds ethical standards, meets
    institutional standards, and maintains scientific integrity. Such research accounts for cross-cultural and
    diversity bias and is reported with transparency regarding its limitations.

    STANDARD 33 Human service professionals exercise discretion in sharing personal information on social
    media, knowing that they reflect the profession of human services. They also reflect on how their public
    behavior might impact their personal reputation and the perception of their professional community.

    RESPONSIBILITY TO SELF

    STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse
    backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their
    relationships with others and commit to delivering culturally competent services to all clients.

    STANDARD 35 Human service professionals are committed to their personal growth and well-being to
    ensure they provide the highest quality service to clients. Should they become aware of any physical,
    emotional, or psychological impediments to their ability to serve clients effectively, they direct clients to
    appropriate alternative services and seek measures for personal remediation of such impediments via
    consultation, treatment, or education.

    STANDARD 36 Human service professionals are dedicated to lifelong learning, consistently seeking to
    enhance their knowledge and skills to better serve their clients.

    RESPONSIBILITY TO STUDENTS

    STANDARD 37 Human service educators develop and implement teaching methodologies that are
    culturally sensitive, using pedagogical approaches that recognize student’s diverse backgrounds and
    perspectives.

    STANDARD 38 Human service educators commit to fostering equity and inclusion, actively employing
    measures to ensure educational accessibility for students of all abilities.

    STANDARD 39 Human service educators uphold high standards of scholarship in their academic,
    pedagogical, and professional engagements. They remain abreast of developments in the field through
    active participation in professional associations, attendance at workshops and conferences, and
    engagement in both the review and conduct of research.

    STANDARD 40 Human service educators recognize and acknowledge the contributions of students to
    their work including, but not limited to, case material, grants, workshops, research, publications, and other
    related activities.

    STANDARD 41 Human service educators monitor students' field experiences to ensure the quality of the
    placement site, the supervisory experience, and that the educational outcomes align with the objectives of
    personal, professional, academic, career, and civic development of the student. When students experience
    potentially harmful situations during field placements, educators provide appropriate investigations and
    respond as necessary to safeguard the student.

    STANDARD 42 Human service educators establish and uphold appropriate guidelines regarding student
    disclosure of sensitive or personal information. This involves providing students with advance notice of any
    activities requiring self-disclosure, offering students the option to opt-out of in-depth self-disclosure when
    reasonable, and ensuring that there are processes in place to discuss and debrief these activities.

    STANDARD 43 Human service educators acknowledge the inherent power imbalance in their relationships
    with students and are committed to defining and upholding clear ethical and professional boundaries. This
    commitment includes avoiding any behavior that is demeaning, embarrassing, or exploitative. Human
    service educators are dedicated to treating all students with fairness and equity, actively working to
    eliminate discrimination in all forms, and ensuring a respectful and inclusive educational environment.

    STANDARD 44 Human service educators ensure that students are familiar with, guided by, and held
    accountable to the ethical standards and policies established by their academic program or department,
    the specific guidelines outlined in the course syllabus by the instructor, the expectations of their advisors,
    and the Ethical Standards of Human Service Professionals.

    Copyright © 2024 National Organization for Human Services. All rights reserved. Note: This document may
    be reproduced in its entirety without permission for non-commercial purposes only. Any reproduction,
    modification, distribution, transmission, or commercial use of this document, or any part thereof, without prior
    written permission is strictly prohibited.

    – Ethical Standards for Human Services Professionals
    – National Organization for Human Services adopted 2024
    – Preamble
    – Responsibility to the Public and Society
    – Responsibility to Colleagues
    – Responsibility to Employers
    – Responsibility to the Profession
    – Responsibility to Self
    – STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their relationships with others and commit to delivering culturally competent services to all clients.
    – Responsibility to Students

    **## Week7Discussio1.docx**

    Week 7 Discussion: Practicing Ethics

    Practicing ethics is central to your role a HSPP and is essential for the profession as a whole to maintain credibility and trust with service users and the wider public. Practicing ethics can be challenging when two ethical decisions may be in conflict. For example, you have to protect a service user’s right to confidentiality until doing so could cause harm to the service user or others. Knowing if a service user is going to act in a way that may be harmful to themselves or others may require a judgment call based on consultation with colleagues or supervisors. How do you err on the side of caution, when the consequences of either decision may be undesirable: the potential harm or danger the service user could cause to themselves or others; or the violation of confidentiality that could damage the service user’s relationship to the HSPP or other providers?

    For this Discussion, you will apply ethical standards to a critical incident and consider how to analyze potential conflicts between ethical standards and legal obligations.

    · Review the Learning Resources and Course Announcements.

    · Review the Ethical Standards for Human Services Professionals

    · Research news articles from the past year for a critical incident that highlights a situation where an ethical choice may conflict with the legal obligations for HSPPs.

    · Choose one of the Ethical Standards found within the NOHS Ethical Standards that relates to the critical incident from the past year.

    · Review the Human Services Ethical Decision Model  (Eber, 2018,p.34) in the Learning Resources.

    By Day 4

    **Post a response to the following:**

    ·
    **Briefly describe a critical incident from the news in the past year and how it relates to one of the Ethical Standards found within the NOHS Ethical Standards.**

    ·
    **Explain why the ethical standard could be challenging to apply in the critical incident and how it may conflict with an HSPP’s legal obligations.**

    ·
    **Explain which step in the human services ethical decision model (Eber, 2018) would you find most challenging if you were confronted with a similar situation. In your explanation, include who you would consult to assist in your decision-making process, and whether you think the situation requires you to err on the side of your ethical or legal obligations. Provide a rationale for your choice.**

    Eber, P. A. (2018).
    [A pedagogical approach to ethical decision making in a human services curriculumLinks to an external site.](http://www.nationalhumanservices.org/assets/Conference/2017%20NOHS%20Proceedings%20Final.pdf), presented at NOHS National Conference. Des Moines, IA, 2017: National Organizations for Human Services.

    **Note:** Go to page 34 of the document to find the Human Services Ethical Decision Model.

    National Organization for Human Services. (2015).
    [Ethical standards for human services professionals.Links to an external site.](https://www.nationalhumanservices.org/ethical-standards-for-hs-professionals)

    Tarvydas, V. M., Levers, L. L., & Teahen, P. R. (2017).
    [Ethical guidelines for mass trauma and complex humanitarian emergencies.Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=123715852&site=ehost-live&scope=site&authtype=shib&custid=s6527200) _Journal of Counseling & Development,_ 95(3), 260-268.

    **## ethics-code-2024.pdf**

    Ethical Standards for Human Services Professionals

    National Organization for Human Services adopted 2024

    Ethical Standards Subjects

    Preamble Responsibility to the Public & Society

    Responsibility to Clients Responsibility to Employers

    Responsibility to Colleagues Responsibility to Self

    Responsibility to the Profession Responsibility to Students

    PREAMBLE

    The field of human services is broadly defined, uniquely approaching the objective of meeting human
    needs through an interdisciplinary knowledge base, focusing on prevention as well as remediation of
    problems, and maintaining a commitment to improving the overall quality of life of service populations. The
    human services profession is one which promotes improved service delivery systems by addressing not
    only the quality of direct services, but also by seeking to improve accessibility, accountability, and
    coordination among professionals and agencies in service delivery.

    Ethics Code Purpose:

    The purpose of this ethics code is to establish a set of principles and standards to guide decision-making
    and conduct for all human services professionals. It serves to safeguard the well-being of clients, uphold
    the integrity of the profession, and foster trust and respect in all professional relationships. This code is
    designed to promote excellence in service delivery, ensure ethical practice in diverse social contexts, and
    address ethical dilemmas with professionalism and moral clarity. By adhering to this code, members
    commit to the highest standards of ethical behavior of their field which transcend legal requirements, foster
    enduring trust and respect, and advance the principles of human dignity, social justice, and responsible
    stewardship of the care placed in them by clients and society towards making profound contributions to
    their well-being.

    Persons who use this code include members of the National Organization for Human Services, students in
    relevant academic degree programs, faculty in those same programs, researchers, administrators,
    practitioners, employers, supervisors, and others in community agencies who identify with the human
    services field (henceforth all are referred to throughout this code as human service professionals). The
    ethical standards are organized according to defined professional domains.

    This ethics code emphasizes our unwavering commitment to ethical decision-making, a cornerstone of the
    human services profession. This commitment obliges all human service professionals to engage in
    continuous reflection, prioritize the welfare and rights of service recipients, and navigate complex ethical
    landscapes with diligence and moral clarity. It mandates the seeking of counsel and adherence to
    established ethical guidelines when confronting dilemmas, and ensures decisions are made with integrity
    and transparency.

    RESPONSIBILITY TO CLIENTS

    STANDARD 1 Human service professionals recognize and build on client and community strengths.

    STANDARD 2 At the beginning of the helping relationship, human service professionals obtain informed
    consent for services from clients. Clients should be informed that they may withdraw consent at any time
    and can ask questions before agreeing to the services. Clients who are unable to give consent should have
    those who are legally responsible for them review an informed consent statement document and provide
    appropriate consent. In the case of mandated services, human service professionals explain to clients their
    right to consent, including limitations to confidentiality and privacy, and possible consequences from
    service refusal.

    STANDARD 3 Human service professionals protect the client's right to privacy and confidentiality except
    when such confidentiality would cause serious harm to the client or others, when agency guidelines state
    otherwise, or under other stated conditions (e.g., local, state, or federal laws). Human service professionals
    inform clients of the limits of confidentiality prior to the onset of the helping relationship.

    STANDARD 4 When a human service professional suspects a client's behavior may endanger themselves
    or others, they must take appropriate and professional actions to ensure safety, which may include
    consulting, seeking supervision, or, in accordance with state and federal laws, breaching confidentiality.

    STANDARD 5 Human service professionals recognize the potential harm and impaired judgment resulting
    from dual or multiple relationships with clients. If such relationships cannot be avoided, professionals must
    assess whether to limit or forego the professional relationship and make appropriate referrals as needed.

    STANDARD 6 Human service professionals must not engage in sexual or romantic relationships with
    current clients. In the case of former clients, their friends, or family, professionals must thoroughly assess
    any potential harm or exploitative dynamics before considering such relationships.

    STANDARD 7 Human service professionals ensure that their values or biases are not imposed upon their
    clients.

    STANDARD 8 Human service professionals are responsible for safeguarding the integrity, safety, and
    security of client records. Client information, whether in written or electronic form, can only be shared with
    other professionals with the client's prior written consent, unless required or allowed by law or during
    professional supervision.

    STANDARD 9 When providing services through the use of technology, human service professionals take
    precautions to ensure and maintain confidentiality and comply with all relevant laws and requirements
    regarding storing, transmitting, and retrieving data. In addition, human service professionals ensure that

    clients are aware of any issues and concerns related to confidentiality, service issues, and how technology
    might negatively or positively impact the helping relationship.

    RESPONSIBILITY TO THE PUBLIC AND SOCIETY

    STANDARD 10 Human service professionals are committed to delivering services equitably, ensuring
    inclusion and accessibility, and respective diversity by valuing and affirming differences in age, ethnicity,
    culture, race, ability, gender, gender identity, gender expression, language preference, religion, sexual
    orientation, socioeconomic status, nationality, and other identities associated with historically marginalized
    groups.

    STANDARD 11 Human service professionals are knowledgeable about their cultures and communities
    within which they practice. They are aware of diversity in society and its impact on the community as well
    as individuals within the community. They respect the cultures and beliefs of individuals and groups.

    STANDARD 12 Human service professionals have a duty to be informed about relevant local, state, and
    federal laws. They bear the responsibility to advocate for amendments or changes in regulations and
    statutes when they conflict with the ethical standards and/or the rights of clients.

    STANDARD 13 Human service professionals stay informed about current social issues as they affect
    clients and communities. If appropriate to the helping relationship, they share this information with clients,
    groups, and communities as part of their work.

    STANDARD 14 Human service professionals are aware of social and political issues, comprehend their
    effects on clients, and recognize how the impact of such issues vary among individuals from diverse
    backgrounds.

    STANDARD 15 Human service professionals must establish processes to identify client needs and assets,
    actively draw attention to them, and facilitate planning and advocacy at individual, community, and societal
    levels to address them.

    STANDARD 16 Human service professionals advocate for social justice and seek to eliminate oppression.
    They raise awareness about systems of discrimination and inequity that affect historically minoritized and
    marginalized groups and advocate for systemic change to address these inequalities within their
    workplace, communities, and legislative systems.

    STANDARD 17 Human service professionals accurately represent the effectiveness of their treatment
    programs, interventions, and techniques, substantiating claims with empirical data and/or sound theoretical
    inferences whenever feasible.

    RESPONSIBILITY TO COLLEAGUES

    STANDARD 18 Human service professionals avoid duplicating another professional's helping relationship
    with a client. With written permission from their client, human service professionals consult with other
    professionals who are assisting the client in a different type of relationship when it is in the best interest of
    the client to do so.

    STANDARD 19 When human service professionals have a conflict with a colleague, they first seek out the
    colleague to manage the problem. If this effort fails, the professional then seeks the assistance of
    supervisors, consultants, or other professionals in efforts to address the conflict.

    STANDARD 20 Human service professionals have a duty to respond appropriately to unethical behavior of
    colleagues. This generally means first discussing the issue directly with the colleague in question, unless
    there are extenuating circumstances, such as concerns about repercussions due to an existing power
    relationship. If a satisfactory resolution is not reached or extenuating circumstances exist, the professional
    should report the colleague's behavior to a supervisor. If the potential unethical behavior is seen as
    egregious, then the individual should report the behavior to the colleague’s professional association,
    credentialing board, police, and/or other administrators or boards, as appropriate.

    STANDARD 21 Clients have a right to information discussed between their helper and other professionals,
    except when state or federal law notes otherwise. All information discussed among professionals should be
    kept confidential from all others, except when withholding information would lead to harm to clients, others,
    or communities.

    RESPONSIBILITY TO EMPLOYERS

    STANDARD 22 Human service professionals honor their commitments to employers to the fullest extent
    possible.

    STANDARD 23 Human service professionals participate in efforts to establish and maintain employment
    conditions which are conducive to high quality client services. Whenever possible, they assist in evaluating
    the effectiveness of the agency through reliable and valid assessment measures.

    STANDARD 24 When a conflict arises between fulfilling the responsibility to the employer and the
    responsibility to the client, human service professionals work with all involved to manage the conflict.

    RESPONSIBILITY TO THE PROFESSION

    STANDARD 25 Human service professionals seek the training, experience, education, and supervision
    necessary to ensure their effectiveness in working with culturally diverse individuals, families, and
    communities.

    STANDARD 26 Human service professionals provide services only within their expertise and scope of
    practice, recognizing the limits to their knowledge and skills.

    STANDARD 27 Human service professionals must accurately represent their qualifications,
    encompassing, but not limited to, their skills, education, credentials, training, and areas of expertise, to the
    client, colleagues, and members of the public. When any intentional or accidental misrepresentation is
    discovered, they must take immediate action to rectify the situation.

    STANDARD 28 Human service professionals must pursue relevant consultation and supervision to guide
    their decision-making in the face of legal, ethical, or other complex dilemmas.

    STANDARD 29 Human service professionals promote cooperation across related disciplines, aiming to
    enhance professional development and maximize the benefits of inter-professional collaboration for clients
    at all levels.

    STANDARD 30 Human service professionals are committed to the continued development of the field.
    They promote professional association memberships, support research initiatives, foster educational
    advancement, advocate for appropriate legislative actions, and engage in other professional development
    activities.

    STANDARD 31 Human service professionals continually seek out new and effective approaches to
    enhance their professional abilities and use techniques that are evidence-based. When practicing
    techniques that are experimental or new, they inform clients of the status of such techniques as well as the
    possible risks and gain client consent for their usage.

    STANDARD 32 Human service professionals engage in research that upholds ethical standards, meets
    institutional standards, and maintains scientific integrity. Such research accounts for cross-cultural and
    diversity bias and is reported with transparency regarding its limitations.

    STANDARD 33 Human service professionals exercise discretion in sharing personal information on social
    media, knowing that they reflect the profession of human services. They also reflect on how their public
    behavior might impact their personal reputation and the perception of their professional community.

    RESPONSIBILITY TO SELF

    STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse
    backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their
    relationships with others and commit to delivering culturally competent services to all clients.

    STANDARD 35 Human service professionals are committed to their personal growth and well-being to
    ensure they provide the highest quality service to clients. Should they become aware of any physical,
    emotional, or psychological impediments to their ability to serve clients effectively, they direct clients to
    appropriate alternative services and seek measures for personal remediation of such impediments via
    consultation, treatment, or education.

    STANDARD 36 Human service professionals are dedicated to lifelong learning, consistently seeking to
    enhance their knowledge and skills to better serve their clients.

    RESPONSIBILITY TO STUDENTS

    STANDARD 37 Human service educators develop and implement teaching methodologies that are
    culturally sensitive, using pedagogical approaches that recognize student’s diverse backgrounds and
    perspectives.

    STANDARD 38 Human service educators commit to fostering equity and inclusion, actively employing
    measures to ensure educational accessibility for students of all abilities.

    STANDARD 39 Human service educators uphold high standards of scholarship in their academic,
    pedagogical, and professional engagements. They remain abreast of developments in the field through
    active participation in professional associations, attendance at workshops and conferences, and
    engagement in both the review and conduct of research.

    STANDARD 40 Human service educators recognize and acknowledge the contributions of students to
    their work including, but not limited to, case material, grants, workshops, research, publications, and other
    related activities.

    STANDARD 41 Human service educators monitor students' field experiences to ensure the quality of the
    placement site, the supervisory experience, and that the educational outcomes align with the objectives of
    personal, professional, academic, career, and civic development of the student. When students experience
    potentially harmful situations during field placements, educators provide appropriate investigations and
    respond as necessary to safeguard the student.

    STANDARD 42 Human service educators establish and uphold appropriate guidelines regarding student
    disclosure of sensitive or personal information. This involves providing students with advance notice of any
    activities requiring self-disclosure, offering students the option to opt-out of in-depth self-disclosure when
    reasonable, and ensuring that there are processes in place to discuss and debrief these activities.

    STANDARD 43 Human service educators acknowledge the inherent power imbalance in their relationships
    with students and are committed to defining and upholding clear ethical and professional boundaries. This
    commitment includes avoiding any behavior that is demeaning, embarrassing, or exploitative. Human
    service educators are dedicated to treating all students with fairness and equity, actively working to
    eliminate discrimination in all forms, and ensuring a respectful and inclusive educational environment.

    STANDARD 44 Human service educators ensure that students are familiar with, guided by, and held
    accountable to the ethical standards and policies established by their academic program or department,
    the specific guidelines outlined in the course syllabus by the instructor, the expectations of their advisors,
    and the Ethical Standards of Human Service Professionals.

    Copyright © 2024 National Organization for Human Services. All rights reserved. Note: This document may
    be reproduced in its entirety without permission for non-commercial purposes only. Any reproduction,
    modification, distribution, transmission, or commercial use of this document, or any part thereof, without prior
    written permission is strictly prohibited.

    – Ethical Standards for Human Services Professionals
    – National Organization for Human Services adopted 2024
    – Preamble
    – Responsibility to the Public and Society
    – Responsibility to Colleagues
    – Responsibility to Employers
    – Responsibility to the Profession
    – Responsibility to Self
    – STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their relationships with others and commit to delivering culturally competent services to all clients.
    – Responsibility to Students

    **## Week7Discussio1.docx**

    Week 7 Discussion: Practicing Ethics

    Practicing ethics is central to your role a HSPP and is essential for the profession as a whole to maintain credibility and trust with service users and the wider public. Practicing ethics can be challenging when two ethical decisions may be in conflict. For example, you have to protect a service user’s right to confidentiality until doing so could cause harm to the service user or others. Knowing if a service user is going to act in a way that may be harmful to themselves or others may require a judgment call based on consultation with colleagues or supervisors. How do you err on the side of caution, when the consequences of either decision may be undesirable: the potential harm or danger the service user could cause to themselves or others; or the violation of confidentiality that could damage the service user’s relationship to the HSPP or other providers?

    For this Discussion, you will apply ethical standards to a critical incident and consider how to analyze potential conflicts between ethical standards and legal obligations.

    · Review the Learning Resources and Course Announcements.

    · Review the Ethical Standards for Human Services Professionals

    · Research news articles from the past year for a critical incident that highlights a situation where an ethical choice may conflict with the legal obligations for HSPPs.

    · Choose one of the Ethical Standards found within the NOHS Ethical Standards that relates to the critical incident from the past year.

    · Review the Human Services Ethical Decision Model  (Eber, 2018,p.34) in the Learning Resources.

    By Day 4

    **Post a response to the following:**

    ·
    **Briefly describe a critical incident from the news in the past year and how it relates to one of the Ethical Standards found within the NOHS Ethical Standards.**

    ·
    **Explain why the ethical standard could be challenging to apply in the critical incident and how it may conflict with an HSPP’s legal obligations.**

    ·
    **Explain which step in the human services ethical decision model (Eber, 2018) would you find most challenging if you were confronted with a similar situation. In your explanation, include who you would consult to assist in your decision-making process, and whether you think the situation requires you to err on the side of your ethical or legal obligations. Provide a rationale for your choice.**

    Eber, P. A. (2018).
    [A pedagogical approach to ethical decision making in a human services curriculumLinks to an external site.](http://www.nationalhumanservices.org/assets/Conference/2017%20NOHS%20Proceedings%20Final.pdf), presented at NOHS National Conference. Des Moines, IA, 2017: National Organizations for Human Services.

    **Note:** Go to page 34 of the document to find the Human Services Ethical Decision Model.

    National Organization for Human Services. (2015).
    [Ethical standards for human services professionals.Links to an external site.](https://www.nationalhumanservices.org/ethical-standards-for-hs-professionals)

    Tarvydas, V. M., Levers, L. L., & Teahen, P. R. (2017).
    [Ethical guidelines for mass trauma and complex humanitarian emergencies.Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=123715852&site=ehost-live&scope=site&authtype=shib&custid=s6527200) _Journal of Counseling & Development,_ 95(3), 260-268.

    **## ethics-code-2024.pdf**

    Ethical Standards for Human Services Professionals

    National Organization for Human Services adopted 2024

    Ethical Standards Subjects

    Preamble Responsibility to the Public & Society

    Responsibility to Clients Responsibility to Employers

    Responsibility to Colleagues Responsibility to Self

    Responsibility to the Profession Responsibility to Students

    PREAMBLE

    The field of human services is broadly defined, uniquely approaching the objective of meeting human
    needs through an interdisciplinary knowledge base, focusing on prevention as well as remediation of
    problems, and maintaining a commitment to improving the overall quality of life of service populations. The
    human services profession is one which promotes improved service delivery systems by addressing not
    only the quality of direct services, but also by seeking to improve accessibility, accountability, and
    coordination among professionals and agencies in service delivery.

    Ethics Code Purpose:

    The purpose of this ethics code is to establish a set of principles and standards to guide decision-making
    and conduct for all human services professionals. It serves to safeguard the well-being of clients, uphold
    the integrity of the profession, and foster trust and respect in all professional relationships. This code is
    designed to promote excellence in service delivery, ensure ethical practice in diverse social contexts, and
    address ethical dilemmas with professionalism and moral clarity. By adhering to this code, members
    commit to the highest standards of ethical behavior of their field which transcend legal requirements, foster
    enduring trust and respect, and advance the principles of human dignity, social justice, and responsible
    stewardship of the care placed in them by clients and society towards making profound contributions to
    their well-being.

    Persons who use this code include members of the National Organization for Human Services, students in
    relevant academic degree programs, faculty in those same programs, researchers, administrators,
    practitioners, employers, supervisors, and others in community agencies who identify with the human
    services field (henceforth all are referred to throughout this code as human service professionals). The
    ethical standards are organized according to defined professional domains.

    This ethics code emphasizes our unwavering commitment to ethical decision-making, a cornerstone of the
    human services profession. This commitment obliges all human service professionals to engage in
    continuous reflection, prioritize the welfare and rights of service recipients, and navigate complex ethical
    landscapes with diligence and moral clarity. It mandates the seeking of counsel and adherence to
    established ethical guidelines when confronting dilemmas, and ensures decisions are made with integrity
    and transparency.

    RESPONSIBILITY TO CLIENTS

    STANDARD 1 Human service professionals recognize and build on client and community strengths.

    STANDARD 2 At the beginning of the helping relationship, human service professionals obtain informed
    consent for services from clients. Clients should be informed that they may withdraw consent at any time
    and can ask questions before agreeing to the services. Clients who are unable to give consent should have
    those who are legally responsible for them review an informed consent statement document and provide
    appropriate consent. In the case of mandated services, human service professionals explain to clients their
    right to consent, including limitations to confidentiality and privacy, and possible consequences from
    service refusal.

    STANDARD 3 Human service professionals protect the client's right to privacy and confidentiality except
    when such confidentiality would cause serious harm to the client or others, when agency guidelines state
    otherwise, or under other stated conditions (e.g., local, state, or federal laws). Human service professionals
    inform clients of the limits of confidentiality prior to the onset of the helping relationship.

    STANDARD 4 When a human service professional suspects a client's behavior may endanger themselves
    or others, they must take appropriate and professional actions to ensure safety, which may include
    consulting, seeking supervision, or, in accordance with state and federal laws, breaching confidentiality.

    STANDARD 5 Human service professionals recognize the potential harm and impaired judgment resulting
    from dual or multiple relationships with clients. If such relationships cannot be avoided, professionals must
    assess whether to limit or forego the professional relationship and make appropriate referrals as needed.

    STANDARD 6 Human service professionals must not engage in sexual or romantic relationships with
    current clients. In the case of former clients, their friends, or family, professionals must thoroughly assess
    any potential harm or exploitative dynamics before considering such relationships.

    STANDARD 7 Human service professionals ensure that their values or biases are not imposed upon their
    clients.

    STANDARD 8 Human service professionals are responsible for safeguarding the integrity, safety, and
    security of client records. Client information, whether in written or electronic form, can only be shared with
    other professionals with the client's prior written consent, unless required or allowed by law or during
    professional supervision.

    STANDARD 9 When providing services through the use of technology, human service professionals take
    precautions to ensure and maintain confidentiality and comply with all relevant laws and requirements
    regarding storing, transmitting, and retrieving data. In addition, human service professionals ensure that

    clients are aware of any issues and concerns related to confidentiality, service issues, and how technology
    might negatively or positively impact the helping relationship.

    RESPONSIBILITY TO THE PUBLIC AND SOCIETY

    STANDARD 10 Human service professionals are committed to delivering services equitably, ensuring
    inclusion and accessibility, and respective diversity by valuing and affirming differences in age, ethnicity,
    culture, race, ability, gender, gender identity, gender expression, language preference, religion, sexual
    orientation, socioeconomic status, nationality, and other identities associated with historically marginalized
    groups.

    STANDARD 11 Human service professionals are knowledgeable about their cultures and communities
    within which they practice. They are aware of diversity in society and its impact on the community as well
    as individuals within the community. They respect the cultures and beliefs of individuals and groups.

    STANDARD 12 Human service professionals have a duty to be informed about relevant local, state, and
    federal laws. They bear the responsibility to advocate for amendments or changes in regulations and
    statutes when they conflict with the ethical standards and/or the rights of clients.

    STANDARD 13 Human service professionals stay informed about current social issues as they affect
    clients and communities. If appropriate to the helping relationship, they share this information with clients,
    groups, and communities as part of their work.

    STANDARD 14 Human service professionals are aware of social and political issues, comprehend their
    effects on clients, and recognize how the impact of such issues vary among individuals from diverse
    backgrounds.

    STANDARD 15 Human service professionals must establish processes to identify client needs and assets,
    actively draw attention to them, and facilitate planning and advocacy at individual, community, and societal
    levels to address them.

    STANDARD 16 Human service professionals advocate for social justice and seek to eliminate oppression.
    They raise awareness about systems of discrimination and inequity that affect historically minoritized and
    marginalized groups and advocate for systemic change to address these inequalities within their
    workplace, communities, and legislative systems.

    STANDARD 17 Human service professionals accurately represent the effectiveness of their treatment
    programs, interventions, and techniques, substantiating claims with empirical data and/or sound theoretical
    inferences whenever feasible.

    RESPONSIBILITY TO COLLEAGUES

    STANDARD 18 Human service professionals avoid duplicating another professional's helping relationship
    with a client. With written permission from their client, human service professionals consult with other
    professionals who are assisting the client in a different type of relationship when it is in the best interest of
    the client to do so.

    STANDARD 19 When human service professionals have a conflict with a colleague, they first seek out the
    colleague to manage the problem. If this effort fails, the professional then seeks the assistance of
    supervisors, consultants, or other professionals in efforts to address the conflict.

    STANDARD 20 Human service professionals have a duty to respond appropriately to unethical behavior of
    colleagues. This generally means first discussing the issue directly with the colleague in question, unless
    there are extenuating circumstances, such as concerns about repercussions due to an existing power
    relationship. If a satisfactory resolution is not reached or extenuating circumstances exist, the professional
    should report the colleague's behavior to a supervisor. If the potential unethical behavior is seen as
    egregious, then the individual should report the behavior to the colleague’s professional association,
    credentialing board, police, and/or other administrators or boards, as appropriate.

    STANDARD 21 Clients have a right to information discussed between their helper and other professionals,
    except when state or federal law notes otherwise. All information discussed among professionals should be
    kept confidential from all others, except when withholding information would lead to harm to clients, others,
    or communities.

    RESPONSIBILITY TO EMPLOYERS

    STANDARD 22 Human service professionals honor their commitments to employers to the fullest extent
    possible.

    STANDARD 23 Human service professionals participate in efforts to establish and maintain employment
    conditions which are conducive to high quality client services. Whenever possible, they assist in evaluating
    the effectiveness of the agency through reliable and valid assessment measures.

    STANDARD 24 When a conflict arises between fulfilling the responsibility to the employer and the
    responsibility to the client, human service professionals work with all involved to manage the conflict.

    RESPONSIBILITY TO THE PROFESSION

    STANDARD 25 Human service professionals seek the training, experience, education, and supervision
    necessary to ensure their effectiveness in working with culturally diverse individuals, families, and
    communities.

    STANDARD 26 Human service professionals provide services only within their expertise and scope of
    practice, recognizing the limits to their knowledge and skills.

    STANDARD 27 Human service professionals must accurately represent their qualifications,
    encompassing, but not limited to, their skills, education, credentials, training, and areas of expertise, to the
    client, colleagues, and members of the public. When any intentional or accidental misrepresentation is
    discovered, they must take immediate action to rectify the situation.

    STANDARD 28 Human service professionals must pursue relevant consultation and supervision to guide
    their decision-making in the face of legal, ethical, or other complex dilemmas.

    STANDARD 29 Human service professionals promote cooperation across related disciplines, aiming to
    enhance professional development and maximize the benefits of inter-professional collaboration for clients
    at all levels.

    STANDARD 30 Human service professionals are committed to the continued development of the field.
    They promote professional association memberships, support research initiatives, foster educational
    advancement, advocate for appropriate legislative actions, and engage in other professional development
    activities.

    STANDARD 31 Human service professionals continually seek out new and effective approaches to
    enhance their professional abilities and use techniques that are evidence-based. When practicing
    techniques that are experimental or new, they inform clients of the status of such techniques as well as the
    possible risks and gain client consent for their usage.

    STANDARD 32 Human service professionals engage in research that upholds ethical standards, meets
    institutional standards, and maintains scientific integrity. Such research accounts for cross-cultural and
    diversity bias and is reported with transparency regarding its limitations.

    STANDARD 33 Human service professionals exercise discretion in sharing personal information on social
    media, knowing that they reflect the profession of human services. They also reflect on how their public
    behavior might impact their personal reputation and the perception of their professional community.

    RESPONSIBILITY TO SELF

    STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse
    backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their
    relationships with others and commit to delivering culturally competent services to all clients.

    STANDARD 35 Human service professionals are committed to their personal growth and well-being to
    ensure they provide the highest quality service to clients. Should they become aware of any physical,
    emotional, or psychological impediments to their ability to serve clients effectively, they direct clients to
    appropriate alternative services and seek measures for personal remediation of such impediments via
    consultation, treatment, or education.

    STANDARD 36 Human service professionals are dedicated to lifelong learning, consistently seeking to
    enhance their knowledge and skills to better serve their clients.

    RESPONSIBILITY TO STUDENTS

    STANDARD 37 Human service educators develop and implement teaching methodologies that are
    culturally sensitive, using pedagogical approaches that recognize student’s diverse backgrounds and
    perspectives.

    STANDARD 38 Human service educators commit to fostering equity and inclusion, actively employing
    measures to ensure educational accessibility for students of all abilities.

    STANDARD 39 Human service educators uphold high standards of scholarship in their academic,
    pedagogical, and professional engagements. They remain abreast of developments in the field through
    active participation in professional associations, attendance at workshops and conferences, and
    engagement in both the review and conduct of research.

    STANDARD 40 Human service educators recognize and acknowledge the contributions of students to
    their work including, but not limited to, case material, grants, workshops, research, publications, and other
    related activities.

    STANDARD 41 Human service educators monitor students' field experiences to ensure the quality of the
    placement site, the supervisory experience, and that the educational outcomes align with the objectives of
    personal, professional, academic, career, and civic development of the student. When students experience
    potentially harmful situations during field placements, educators provide appropriate investigations and
    respond as necessary to safeguard the student.

    STANDARD 42 Human service educators establish and uphold appropriate guidelines regarding student
    disclosure of sensitive or personal information. This involves providing students with advance notice of any
    activities requiring self-disclosure, offering students the option to opt-out of in-depth self-disclosure when
    reasonable, and ensuring that there are processes in place to discuss and debrief these activities.

    STANDARD 43 Human service educators acknowledge the inherent power imbalance in their relationships
    with students and are committed to defining and upholding clear ethical and professional boundaries. This
    commitment includes avoiding any behavior that is demeaning, embarrassing, or exploitative. Human
    service educators are dedicated to treating all students with fairness and equity, actively working to
    eliminate discrimination in all forms, and ensuring a respectful and inclusive educational environment.

    STANDARD 44 Human service educators ensure that students are familiar with, guided by, and held
    accountable to the ethical standards and policies established by their academic program or department,
    the specific guidelines outlined in the course syllabus by the instructor, the expectations of their advisors,
    and the Ethical Standards of Human Service Professionals.

    Copyright © 2024 National Organization for Human Services. All rights reserved. Note: This document may
    be reproduced in its entirety without permission for non-commercial purposes only. Any reproduction,
    modification, distribution, transmission, or commercial use of this document, or any part thereof, without prior
    written permission is strictly prohibited.

    – Ethical Standards for Human Services Professionals
    – National Organization for Human Services adopted 2024
    – Preamble
    – Responsibility to the Public and Society
    – Responsibility to Colleagues
    – Responsibility to Employers
    – Responsibility to the Profession
    – Responsibility to Self
    – STANDARD 34 Human service professionals maintain awareness of their own cultural and diverse backgrounds, beliefs, values, and biases. They recognize the potential impact of these factors on their relationships with others and commit to delivering culturally competent services to all clients.
    – Responsibility to Students

  • [Solved] Physical Activity Plan

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    See attached documents for instructions – 2 years ago **files (2)** – ## InstructionsforPhysicalActivityPaper.docx – PhysicalActivity_SamplePaper_2018.pdf **## InstructionsforPhysicalActivityPaper.docx** | | | | | | | — | — | — | — | — | | | | | | | **A Personal Physical Activity Plan Pa…

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    Assignment Prompt & Instructions

    See attached documents for instructions

    – 2 years ago

    **files (2)**

    – ## InstructionsforPhysicalActivityPaper.docx

    – PhysicalActivity_SamplePaper_2018.pdf

    **## InstructionsforPhysicalActivityPaper.docx**

    | | | | | |
    | — | — | — | — | — |
    | |
    | | |
    | **A Personal Physical Activity Plan Paper**

    **This has THREE steps. Each step builds on the next. You will need to complete all four parts**

    **STEP 1**

    For the next seven days, record:

    · The number of minutes of moderate-intensity physical activity (3-5.9 METS) you accumulate daily.

    · Vigorous-intensity physical activity (>6 METS) you accumulate daily.

    · You will note the amount of time you spend in sedentary activity (sitting)
    _other than sleeping._

    · The normal week would be reflective of your regular lifestyle.

    For the week that you choose to record, be honest. Do not do extra (beyond normal) physical activity or exercise than usual.

    | | | | | |
    | — | — | — | — | — |
    | **Day (activities performed)** | **Type of activity & Minutes in moderate-instensityphysical activity** | **Type of activity & Minutes in vigorous-intensity physical activity** | **Total minutes of physical activity** | **Minutes of sedentary time** |
    | 1. | | | | |
    | | | | | |
    | 2. | | | | |
    | | | | | |
    | 3. | | | | |
    | | | | | |
    | 4. | | | | |
    | | | | | |
    | 5. | | | | |
    | | | | | |
    | 6. | | | | |
    | | | | | |
    | 7. | | | | |
    | | | | | |
    | Totals (hrs & minutes) | | | | |

    **The information will be submitted in a chart format. It can be a word document chart.**

    Once you have determined the total minutes of moderate and vigorous physical activity and exercise along with total minutes accumulated per week, go to the
    [2018 Physical Activity Guidelines](https://health.gov/paguidelines/second-edition/report.aspx) and answer the following questions:

    1. What are the minimum physical activity recommendations for adults ages 18-65? Include citations/references.

    2. Did you achieve or exceed the minimum recommendations for adults ages 18 to 65 during the week?

    3. Why were you able to achieve or not achieve the guidelines?

    4. Was this a typical week for you? Why or why not?

    **STEP 2**

    Now that you have assessed your current physical activity levels, develop and describe a personalized plan to meet the minimal levels of the guidelines to become or remain physically active in the future.

    Complete the following information requested and use the 2018 guidelines (see pages 23-36 in the text for more) to help you develop a personal physical activity and exercise plan if you do not have experience doing so.

    1.
    **Describe and list your personal health goals (** Improve cardiorespiratory health, maintain weight, reduce risk of or control diabetes, etc..)

    2.
    **Aerobic activity goals** (Frequency, intensity, duration per day, total minutes per week, etc…)

    3.
    **Muscle-strengthening activity goals** (Frequency, muscle groups used, number of sets and repetitions, type (amount) of resistance used)

    **STEP THREE**

    Write up a 3-4 page APA report which describes your plan to continue to be physically active to meet the 2018 physical activity guidelines and also evaluate your success/failure to achieve/maintain the physical activity plan you set for yourself. Answer the following questions:

    1. What was your personal activity and exercise plan? Provide a detailed explanation. Include health, aerobic, and muscle-strengthening activity goals.

    2. Was each of your goals easy, moderate or difficult to achieve? Can you continue these goals long-term?

    1. How did you try to achieve your goals? Explain in detail.

    2. If you were unable to achieve your goals, explain why you think this happened.

    3. What are your personal recommendations for achieving/maintaining these goals in the future?

    1. Provide evidence-based advice for achieving the goal if the goal was not attained.

    2. Provide evidence-based advice/support for continuing the goals or increasing the goals.

    View student example paper
    [here](https://nationalu.brightspace.com/content/enforced/6975-018032/Week%20Three/COH416_PA_Sample%20Paper_2018.pdf)

    **Points for spelling, grammar, APA**

    **Submit each step together as one single document. Each step is needed to complete the assignment.**

    **Resources** MET Calculator: http://lamb.cc/calories-burned-calculator/PA Intensity Table: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdfMeasure PA Overview: https://www.cdc.gov/physicalactivity/basics/measuring/index.htmlMeasuring – Heart Rate: https://www.cdc.gov/physicalactivity/basics/measuring/heartrate.htm Measuring – Perceived Exertion: https://www.cdc.gov/physicalactivity/basics/measuring/exertion.htm PA Guideline Videos: https://www.cdc.gov/physicalactivity/basics/videos/index.htmPAGlossary: https://www.cdc.gov/physicalactivity/basics/glossary/index.htm

    **Struggling to find evidence to support your population choice for your presentation?** Remember to check out the 2018 Physical Activity Guidelines Part F. The Science Base. |

    **PhysicalActivity_SamplePaper_2018.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/physicalactivity-samplepaper-2018-pdf)

    **PhysicalActivity_SamplePaper_2018.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/physicalactivity-samplepaper-2018-pdf)

    **## InstructionsforPhysicalActivityPaper.docx**

    | | | | | |
    | — | — | — | — | — |
    | |
    | | |
    | **A Personal Physical Activity Plan Paper**

    **This has THREE steps. Each step builds on the next. You will need to complete all four parts**

    **STEP 1**

    For the next seven days, record:

    · The number of minutes of moderate-intensity physical activity (3-5.9 METS) you accumulate daily.

    · Vigorous-intensity physical activity (>6 METS) you accumulate daily.

    · You will note the amount of time you spend in sedentary activity (sitting)
    _other than sleeping._

    · The normal week would be reflective of your regular lifestyle.

    For the week that you choose to record, be honest. Do not do extra (beyond normal) physical activity or exercise than usual.

    | | | | | |
    | — | — | — | — | — |
    | **Day (activities performed)** | **Type of activity & Minutes in moderate-instensityphysical activity** | **Type of activity & Minutes in vigorous-intensity physical activity** | **Total minutes of physical activity** | **Minutes of sedentary time** |
    | 1. | | | | |
    | | | | | |
    | 2. | | | | |
    | | | | | |
    | 3. | | | | |
    | | | | | |
    | 4. | | | | |
    | | | | | |
    | 5. | | | | |
    | | | | | |
    | 6. | | | | |
    | | | | | |
    | 7. | | | | |
    | | | | | |
    | Totals (hrs & minutes) | | | | |

    **The information will be submitted in a chart format. It can be a word document chart.**

    Once you have determined the total minutes of moderate and vigorous physical activity and exercise along with total minutes accumulated per week, go to the
    [2018 Physical Activity Guidelines](https://health.gov/paguidelines/second-edition/report.aspx) and answer the following questions:

    1. What are the minimum physical activity recommendations for adults ages 18-65? Include citations/references.

    2. Did you achieve or exceed the minimum recommendations for adults ages 18 to 65 during the week?

    3. Why were you able to achieve or not achieve the guidelines?

    4. Was this a typical week for you? Why or why not?

    **STEP 2**

    Now that you have assessed your current physical activity levels, develop and describe a personalized plan to meet the minimal levels of the guidelines to become or remain physically active in the future.

    Complete the following information requested and use the 2018 guidelines (see pages 23-36 in the text for more) to help you develop a personal physical activity and exercise plan if you do not have experience doing so.

    1.
    **Describe and list your personal health goals (** Improve cardiorespiratory health, maintain weight, reduce risk of or control diabetes, etc..)

    2.
    **Aerobic activity goals** (Frequency, intensity, duration per day, total minutes per week, etc…)

    3.
    **Muscle-strengthening activity goals** (Frequency, muscle groups used, number of sets and repetitions, type (amount) of resistance used)

    **STEP THREE**

    Write up a 3-4 page APA report which describes your plan to continue to be physically active to meet the 2018 physical activity guidelines and also evaluate your success/failure to achieve/maintain the physical activity plan you set for yourself. Answer the following questions:

    1. What was your personal activity and exercise plan? Provide a detailed explanation. Include health, aerobic, and muscle-strengthening activity goals.

    2. Was each of your goals easy, moderate or difficult to achieve? Can you continue these goals long-term?

    1. How did you try to achieve your goals? Explain in detail.

    2. If you were unable to achieve your goals, explain why you think this happened.

    3. What are your personal recommendations for achieving/maintaining these goals in the future?

    1. Provide evidence-based advice for achieving the goal if the goal was not attained.

    2. Provide evidence-based advice/support for continuing the goals or increasing the goals.

    View student example paper
    [here](https://nationalu.brightspace.com/content/enforced/6975-018032/Week%20Three/COH416_PA_Sample%20Paper_2018.pdf)

    **Points for spelling, grammar, APA**

    **Submit each step together as one single document. Each step is needed to complete the assignment.**

    **Resources** MET Calculator: http://lamb.cc/calories-burned-calculator/PA Intensity Table: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdfMeasure PA Overview: https://www.cdc.gov/physicalactivity/basics/measuring/index.htmlMeasuring – Heart Rate: https://www.cdc.gov/physicalactivity/basics/measuring/heartrate.htm Measuring – Perceived Exertion: https://www.cdc.gov/physicalactivity/basics/measuring/exertion.htm PA Guideline Videos: https://www.cdc.gov/physicalactivity/basics/videos/index.htmPAGlossary: https://www.cdc.gov/physicalactivity/basics/glossary/index.htm

    **Struggling to find evidence to support your population choice for your presentation?** Remember to check out the 2018 Physical Activity Guidelines Part F. The Science Base. |

    **PhysicalActivity_SamplePaper_2018.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/physicalactivity-samplepaper-2018-pdf)

    **## InstructionsforPhysicalActivityPaper.docx**

    | | | | | |
    | — | — | — | — | — |
    | |
    | | |
    | **A Personal Physical Activity Plan Paper**

    **This has THREE steps. Each step builds on the next. You will need to complete all four parts**

    **STEP 1**

    For the next seven days, record:

    · The number of minutes of moderate-intensity physical activity (3-5.9 METS) you accumulate daily.

    · Vigorous-intensity physical activity (>6 METS) you accumulate daily.

    · You will note the amount of time you spend in sedentary activity (sitting)
    _other than sleeping._

    · The normal week would be reflective of your regular lifestyle.

    For the week that you choose to record, be honest. Do not do extra (beyond normal) physical activity or exercise than usual.

    | | | | | |
    | — | — | — | — | — |
    | **Day (activities performed)** | **Type of activity & Minutes in moderate-instensityphysical activity** | **Type of activity & Minutes in vigorous-intensity physical activity** | **Total minutes of physical activity** | **Minutes of sedentary time** |
    | 1. | | | | |
    | | | | | |
    | 2. | | | | |
    | | | | | |
    | 3. | | | | |
    | | | | | |
    | 4. | | | | |
    | | | | | |
    | 5. | | | | |
    | | | | | |
    | 6. | | | | |
    | | | | | |
    | 7. | | | | |
    | | | | | |
    | Totals (hrs & minutes) | | | | |

    **The information will be submitted in a chart format. It can be a word document chart.**

    Once you have determined the total minutes of moderate and vigorous physical activity and exercise along with total minutes accumulated per week, go to the
    [2018 Physical Activity Guidelines](https://health.gov/paguidelines/second-edition/report.aspx) and answer the following questions:

    1. What are the minimum physical activity recommendations for adults ages 18-65? Include citations/references.

    2. Did you achieve or exceed the minimum recommendations for adults ages 18 to 65 during the week?

    3. Why were you able to achieve or not achieve the guidelines?

    4. Was this a typical week for you? Why or why not?

    **STEP 2**

    Now that you have assessed your current physical activity levels, develop and describe a personalized plan to meet the minimal levels of the guidelines to become or remain physically active in the future.

    Complete the following information requested and use the 2018 guidelines (see pages 23-36 in the text for more) to help you develop a personal physical activity and exercise plan if you do not have experience doing so.

    1.
    **Describe and list your personal health goals (** Improve cardiorespiratory health, maintain weight, reduce risk of or control diabetes, etc..)

    2.
    **Aerobic activity goals** (Frequency, intensity, duration per day, total minutes per week, etc…)

    3.
    **Muscle-strengthening activity goals** (Frequency, muscle groups used, number of sets and repetitions, type (amount) of resistance used)

    **STEP THREE**

    Write up a 3-4 page APA report which describes your plan to continue to be physically active to meet the 2018 physical activity guidelines and also evaluate your success/failure to achieve/maintain the physical activity plan you set for yourself. Answer the following questions:

    1. What was your personal activity and exercise plan? Provide a detailed explanation. Include health, aerobic, and muscle-strengthening activity goals.

    2. Was each of your goals easy, moderate or difficult to achieve? Can you continue these goals long-term?

    1. How did you try to achieve your goals? Explain in detail.

    2. If you were unable to achieve your goals, explain why you think this happened.

    3. What are your personal recommendations for achieving/maintaining these goals in the future?

    1. Provide evidence-based advice for achieving the goal if the goal was not attained.

    2. Provide evidence-based advice/support for continuing the goals or increasing the goals.

    View student example paper
    [here](https://nationalu.brightspace.com/content/enforced/6975-018032/Week%20Three/COH416_PA_Sample%20Paper_2018.pdf)

    **Points for spelling, grammar, APA**

    **Submit each step together as one single document. Each step is needed to complete the assignment.**

    **Resources** MET Calculator: http://lamb.cc/calories-burned-calculator/PA Intensity Table: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdfMeasure PA Overview: https://www.cdc.gov/physicalactivity/basics/measuring/index.htmlMeasuring – Heart Rate: https://www.cdc.gov/physicalactivity/basics/measuring/heartrate.htm Measuring – Perceived Exertion: https://www.cdc.gov/physicalactivity/basics/measuring/exertion.htm PA Guideline Videos: https://www.cdc.gov/physicalactivity/basics/videos/index.htmPAGlossary: https://www.cdc.gov/physicalactivity/basics/glossary/index.htm

    **Struggling to find evidence to support your population choice for your presentation?** Remember to check out the 2018 Physical Activity Guidelines Part F. The Science Base. |

    **PhysicalActivity_SamplePaper_2018.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/physicalactivity-samplepaper-2018-pdf)

  • [Solved] Partnering to Address Transnational Issues: Human Trafficking

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    follow all directions – 2 years ago **files (1)** – ## Week7Discussion.docx **## Week7Discussion.docx** Week 7 Discussion: Partnering to Address Transnational Issues: Human Trafficking The issues that you face as an HSPP are rarely unique to the community in which you find yourself working. Local ch…

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    Assignment Prompt & Instructions

    follow all directions

    – 2 years ago

    **files (1)**

    – ## Week7Discussion.docx

    **## Week7Discussion.docx**

    Week 7 Discussion: Partnering to Address Transnational Issues: Human Trafficking

    The issues that you face as an HSPP are rarely unique to the community in which you find yourself working. Local challenges can often be fueled by factors that are regional, national, or international in nature. You also may be asked to prioritize needs of organizations or funding. One difficult issue that affects local communities, but that also has national and international dimensions, is human trafficking.

    For this Discussion, imagine that a foundation has provided your organization with grant of $100,000 to address the issue of human trafficking.

    To Prepare:

    · Review the Learning Resources and Course Announcements.

    · Identify an organization that would work with issues related to human trafficking.

    · Research organizations outside the United States with whom you could partner.

    · Consider how you would use the grant at your organization: What would you fund and why?

    **By Day 4**

    ·
    **Describe the organization with which you will partner.**

    ·
    **To most effectively address human trafficking, explain how you would allocate the funding, and provide your rationale.**

    **## Week7Discussion.docx**

    Week 7 Discussion: Partnering to Address Transnational Issues: Human Trafficking

    The issues that you face as an HSPP are rarely unique to the community in which you find yourself working. Local challenges can often be fueled by factors that are regional, national, or international in nature. You also may be asked to prioritize needs of organizations or funding. One difficult issue that affects local communities, but that also has national and international dimensions, is human trafficking.

    For this Discussion, imagine that a foundation has provided your organization with grant of $100,000 to address the issue of human trafficking.

    To Prepare:

    · Review the Learning Resources and Course Announcements.

    · Identify an organization that would work with issues related to human trafficking.

    · Research organizations outside the United States with whom you could partner.

    · Consider how you would use the grant at your organization: What would you fund and why?

    **By Day 4**

    ·
    **Describe the organization with which you will partner.**

    ·
    **To most effectively address human trafficking, explain how you would allocate the funding, and provide your rationale.**

  • [Solved] Nursing CHAMB ASSIGNMENT

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    PLEASE SEE THE ATTACHED DOCUMENT FOR INSTRUCTIONS AND RUBRIC TOPIC: ASTHMA DUE DATE JANUARY 9, 2025 NO PLAGIARISM ACCEPTED MORE THN 8 % NEED ORIGINAL AND UNIQUE WOK REFERENCES NO OLDER THAN 5 YEARS AND CITATION REQUESTED APA STYLE WITH PROPER SPELLING AND GRAMMAR – [\ \ INSTRUCTIONSANDRUBRIC.pdf](…

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    Assignment Prompt & Instructions

    PLEASE SEE THE ATTACHED DOCUMENT FOR INSTRUCTIONS AND RUBRIC

    TOPIC: ASTHMA

    DUE DATE JANUARY 9, 2025

    NO PLAGIARISM ACCEPTED MORE THN 8 %

    NEED ORIGINAL AND UNIQUE WOK

    REFERENCES NO OLDER THAN 5 YEARS AND CITATION REQUESTED

    APA STYLE WITH PROPER SPELLING AND GRAMMAR

    – [\
    \
    INSTRUCTIONSANDRUBRIC.pdf](https://www.sweetstudy.com/files/instructionsandrubric-pdf-10149233 "INSTRUCTIONSANDRUBRIC.pdf")

    – 2 years ago

  • [Solved] Lifestyle Changes for Disease Prevention and Management

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Overview: Lifestyle modifications play a crucial role in preventing and managing diabetes mellitus. For this discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease processes and promote …

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    Assignment Prompt & Instructions

    Overview: Lifestyle modifications play a crucial role in preventing and managing diabetes mellitus. For this discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease processes and promote restoration of health.

    Discuss Lifestyle Changes: Describe at least two lifestyle changes that can prevent, modify, or restore health in relation to your selected disease. Use evidence-based practice (EBP) to support your discussion.

    o Include specific examples of dietary changes, physical activity, smoking cessation, or stress management techniques.

    3. Explain the Impact: Discuss how these lifestyle changes influence the disease process. Explain the physiological or behavioral changes that occur as a result.

    4. Relate to Nursing Practice: Identify the nurse's role in educating and promoting these lifestyle modifications. How can nurses empower patients to adopt and sustain these changes?

    5. Support with Evidence: Integrate at least two peer-reviewed scholarly sources published within the last five years. Use APA format for in-text citations and your reference list.

    6. Use 400 to 500 words

    – 2 years ago

  • [Solved] week 1 re

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    #1 Levels of evidence are used to differentiate between credible and unreliable research resources. A "levels of evidence pyramid" is a way to visualize different types of research studies and how strong their findings are (Walden University, n.d.). The strongest evidence, like systematic reviews an…

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    Assignment Prompt & Instructions

    #1

    Levels of evidence are used to differentiate between credible and unreliable research resources. A "levels of evidence pyramid" is a way to visualize different types of research studies and how strong their findings are (Walden University, n.d.). The strongest evidence, like systematic reviews and meta-analyses, sits at the top, while the weaker stuff, like expert opinions and case reports, is at the bottom. Basically, this pyramid shows that the best and most reliable evidence is at the peak, and the less reliable evidence is at the base.

    The article I selected was "The Correlation Between Effort–Reward Imbalance at Work and the Risk of Burnout Among Nursing Staff Working in an Emergency Department—A Pilot Study", by Braun et al., 2024. The study interviewed 35 nurses in an emergency department and concluded that 41% of those interviewed were at risk for developing burnout syndrome. This article showcases primary research because the publishers conducted the original experiment. I would classify this article as a level 3, on the evidence pyramid, as it is quasi-experimental and observational.

    #2

    Chosen Article: Relation between Nurses- Patients Ratio and Nursing Outcomes at Intensive Care Units.

    1. Explain whether the selected article is original/primary or secondary research.

    The article I chose is primary research. The article is the original study and is reported by the researchers who conducted the study. The journal authors conducted a survey on nursing staff at two different hospitals (Intensive Care Units at Tanta University Main and Emergency Hospitals-in Egypt) and then reported their findings.

    1. State the level of evidence for the research article you selected.

    Level 5: Uncontrolled cohort studies and synthesis of qualitative and descriptive studies. The journal article states that a “descriptive correlation design was used”.

    1. Discuss the importance of the levels of evidence and explain whether or not the article you selected is a good choice for the use of research, and why?

    The levels of evidence in research are important for determining the reliability and validity of findings, guiding clinical decision-making, and ensuring that nursing practices are based on the highest quality of evidence. The article I selected is not an ideal choice for research because it is Level 5 evidence, which is lower on the reliability scale, and its findings are limited as the study was conducted in only two hospitals in Egypt, reducing its generalizability.

    – 2 years ago

  • [Solved] Prsentation physical activity

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    See attached files for instructions and samples – 2 years ago **files (2)** – ## Instructions3.docx – ## ExamplePAPresentation-1.pptx **## Instructions3.docx** Physical Activity Plan Presentation Develop a presentation outlining a physical activity plan for populations with a medical/physical limita…

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    Assignment Prompt & Instructions

    See attached files for instructions and samples

    – 2 years ago

    **files (2)**

    – ## Instructions3.docx

    – ## ExamplePAPresentation-1.pptx

    **## Instructions3.docx**

    Physical Activity Plan Presentation

    Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

    Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

    ## image1.jpeg

    ## image2.gif

    ## image3.gif

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

    ## image1.jpeg

    ## image2.gif

    ## image3.gif

    **## Instructions3.docx**

    Physical Activity Plan Presentation

    Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

    Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

    ## image1.jpeg

    ## image2.gif

    ## image3.gif

    **## Instructions3.docx**

    Physical Activity Plan Presentation

    Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

    Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

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