Category: Nursing

NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

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Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

· Identify and provide a brief description of the population health concern you selected and the factors that contribute to it. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

· Describe the administrative agenda focus related to the issue you selected.

· Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.

· Explain how each of the presidential administrations approached the issue.

(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

· Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

· How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?

· Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

Part 3: Fact Sheet or Talking Points Brief (THIS PART IS NEEDED)

Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.

Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:

· Summarize why this healthcare issue is important and should be included in the agenda for legislation.

· Justify the role of the nurse in agenda setting for healthcare issues. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION ASSIGNMENT

 

OUMH1203

ENGLISH FOR WRITTEN COMMUNICATION

SEMESTER SEPTEMBER 2019

 

 

SPECIFIC INSTRUCTION

 

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Answer in
English
.

 

Number of words :
2500 – 3000 words excluding
  

 

Submit your assignment
ONCE
only in a
SINGLE
file
.

 

Submit your assignment

 

Submission date :
4 November 2019 until 17 November 2019

 

This assignment accounts for
60%
of the total marks for the course.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASSIGNMENT QUESTION

 

This assignment is intended to give you practice in academic writing.  It requires you to refer to materials / articles and include relevant ideas and quotes in your essay.  You are also required to acknowledge ideas and concepts from sources to be included in your writing.

 

TOPIC

The education inequality does exist in Malaysia. Many rural schools in this country are so isolated that the students are not aware of scholarships and grants available to them.

To what extent do you agree with this statement? Is there any gap between urban and rural schools?

Discuss the issue and give suggestions on how to help the rural school students to get the information and the aspiration to further their studies and achieve their goals. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

TASK

For this assignment, you need to:

Prepare an outline for your essay (must be submitted with the essay).

Write an essay and discuss the following issues related to the above topic and give reasons for your suggestions / opinions.

 

Notice:

Write your
own
outline, essay, and avoid plagiarism. The content of the essay
must
be written based on the essay outline that you have prepared. Please refer to the sequenced and numbered outline format stated on page 27
(3.1 Planning to Write Essays)
of the OUMH1203 module and refer to the attached sample outline format.

 

Support your discussion with evidence drawn from a review of current and related literature (2012 – 2019). Use the APA format for in – text citations and the reference list.

Refer to the assignment rubrics as a guide to achieve cohesion and coherence.

 [Total: 60 marks]

 

SAMPLE OUTLINE FORMAT

 

Title of Essay

 

Introduction

            Introduction to the topic

Thesis Statement

 

Topic Sentence 1

Supporting Detail

Example

a) Sub-example (if any)

 

Topic Sentence 2 (same structure for Topic Sentence 3 and so on)

Supporting Detail

Example

a) Sub-example (if any)

 

III.    Conclusion

The conclusion of the essay

 

 

 

 

ATTACHMENT

OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION ASSIGNMENT RUBRICS

OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION / SEPTEMBER 2019

 

Criteria

 

Weight

Excellent

Good

Fair

Poor

Unsatisfactory

Or

No response

Max Marks

4

3

2

1

0

Essay Outline

 

2.5

 

Correct and accurate format.

 

 

 

 

Details are placed in a logical order and the way they are presented effectively makes the outline very interesting.

Parts of the format are correct.

 

 

 

Details are placed in a logical order, but the way in which they are presented sometimes makes the outline less interesting.

The content and the organisation of ideas in the outline are weak. The format is wrong.

 

Some details are not in a logical or expected order, and this distracts the organisation of the outline.

 

Outline is poorly written and the format is wrong.

 

 

 

Many details are not in a logical or expected order. The outline is unorganised.

No proper use of outline format.

 

10

Introduction

2

 

 

The introduction very clearly states the thesis statement and previews the structure of the paper.

The introduction clearly states the thesis statement and previews the structure of the paper.

 

The introduction states the thesis statement, but does not adequately preview the structure of the paper.

There is no clear introduction of the main topic or structure of the paper.

 

Introduction presents no purpose.

 

8

Content:

Discussion on the gap between urban and rural schools

2.5

Fully addresses all aspects of the writing assignment.

 

 

 

Ideas are organised logically and coherently.

Adequately addresses the writing assignment.

 

 

 

Some ideas may not be arranged logically and coherently.

Generally writes about the topic but with a few digressions in parts of the writing.

 

Ideas may not be arranged logically and coherently.

Some attempt to address the writing assignment.

 

 

 

Organisation of ideas lacks clarity and may lead to confusion.

 

A weak attempt at addressing the writing assignment.

 

 

10

Content:

Discussion on the issue and suggestions on how to help the rural school students

2.5

Full and rich development of the content.

 

 

Main points are relevant and extended satisfactorily with the support of relevant details.

Clear and complete development of content.

 

 

Main points are relevant and extended adequately with the support of relevant details.

 

 

 

Development of content is adequate.

 

 

Some main points may not be fully extended; supporting details may not be relevant or adequate.

 

Development of content is limited, may be incomplete or unclear.

 

Most main points are not fully extended, serious lack of supporting details.

 

 

OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

Off – topic for the most part.

 

10

Conclusion

2

Conclusion skillfully reinforces thesis and gives closure to essay.

The conclusion is recognizable and ties up almost all the loose ends.

The conclusion is recognizable, but does not tie up several loose ends.

Conclusion is weak.

Conclusion is out of topic / unrecognisable.

8

 
Language/

Sentence Skills

2

Sentence style fits the paper’s purpose. Sentences are varied, yet clearly structured and carefully focused.

 

 

Language is excellent with hardly any error in grammar, lexical choice and punctuation.

 

Sentences are generally clear, well structured, focused, though some may be awkward or ineffective.

 

 

 

Language is satisfactory with some errors in grammar, lexical choice and punctuation, which do not seriously impede understanding and clarity.

 

Sentence structures are generally correct, but sentences may be wordy or repetitive.

 

 

 

Frequent errors in grammar, lexical choice and punctuation, which may impede understanding and clarity.

Contains several awkward or ungrammatical sentences. Sentence structure is simple or monotonous.

 

Very frequent errors in grammar, lexical choice and punctuation that seriously impair understanding and clarity.

Contains many awkward sentences. Displays general inability in writing grammatical/meaningful sentences.

 

Errors in grammar, lexical choice and punctuation are too frequent and severe, making it highly difficult to understand the message.

 

8

References

1.5

All the references are effectively used, correctly cited and correctly listed in the reference list according to APA style.

Most of the references are effectively used, correctly cited and correctly listed in the reference list according to APA style.

References are sometimes not effectively used, and/or correctly cited and/or correctly listed in the reference list according to APA style.

 

References are inappropriately/unclearly incorporated.

References are not incorporated or incorporated inappropriately.

6

Total

15

OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

60

Pernicious anemia essay

Answer the following questions regarding pernicious anemia in a 2-pages Word document:

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What causes pernicious anemia?

What’s the pathophysiology associated with the body’s response to this disease process?

What are the technical terms that describe an anemia with high MCV and normal MCH? (aka. Macrocytic normochromic anemia)

Why should a Nurse Practitioner (NP) ask the patient about paresthesia and ataxia?

Why did the NP prescribe vitamin B12 by intramuscular injection rather than orally?

Pernicious anemia essay

Urinary tract infections Essay Discussion

Your discussion thread title should be the name of the disorder. If possible, you should choose a disorder that has not been chosen by a peer. You can complete your initial post using bullet points or a short answer.

In your initial post, discuss the following questions about your chosen disorder:

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Concept and Etiology: How does the disease affect the reproductive and urinary systems in particular? How does it deviate from the definition of health discussed in Module One?

Classification: How is the disease classified?

Clinical Manifestations (Symptoms and Signs): What are the symptoms and signs of the disease or disorder? Be sure you understand the difference between symptoms (subjective) and signs (objective).

Diagnostic Tests: What are some additional diagnostic tests that can be done to illuminate the diagnosis? For example, when you injure your ankle, they take an x-ray to determine if it is broken or sprained. Urinary tract infections Essay Discussion

Crohn’s disease essay

In your initial post, discuss the following questions about your chosen disorder:

Concept and Etiology: How does the disease affect the ear, nose, throat, and gastrointestinal systems in particular? How does it deviate from the definition of health discussed in Module One?

Classification: How is the disease classified?

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Clinical Manifestations (Symptoms and Signs): What are the symptoms and signs of the disease or disorder? Be sure you understand the difference between symptoms (subjective) and signs (objective).

Diagnostic Tests: What are some additional diagnostic tests that can be done to illuminate the diagnosis? For example, when you injure your ankle, they take an x-ray to determine if it is broken or sprained.

Support your answer with relevant resources. Crohn’s disease essay

Katharine Kolcaba’s Theory of Comfort nursing essay

Discuss 
two different types
 of comfort interventions that can be utilized by the advanced practice nurse in the clinical setting as per Katharine Kolcaba’s Theory of Comfort. Identify 
one
 MSN Essential that most relates to application of this theory in practice and explain your choice.

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**As a reminder,
 all questions must be answered to receive
 
full credit for this discussion
.
 
please include your name in the title bar of the discussion. Discussion posts must be minimum of 250 words and reply posts minimum 100 words. 
Also, make sure to use scholarly sources to support your discussion.** Katharine Kolcaba’s Theory of Comfort nursing essay

social and economic costs of this health problem for society, families, and individuals

What are the economic costs of this health problem for society, families, and individuals?

What are the social costs (cost in any means such as time, human resource, social burden) associated with this health problem for society and individuals?

Use data (statistics) from credible sources to support your discussion.

Using APA format, create a reference list citing all the sources used in writing your paper.

Interpret and include at least 
one graph or table
 that relates to the content of your paper. You will discuss the graph or table as part of your narrative and include the graph or table in an Appendix at the end of your paper. Cite the source for the tables or graphs below each one and in the reference list using APA format.

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Each focus paper must be written in a scholarly manner using proper APA format (6th edition).

Each focus paper must be at least 750 words in length. The 750 words do not include the title page, reference list or appendix. social and economic costs of this health problem for society, families, and individuals

Your paper should not consist of more than 10% of direct quotes. This means that in a 750-word paper, no more than 75 words can be directly quoted from a source. Points will be deducted from papers exceeding the 10% limit. Instead of quoting, paraphrase the information in your own words.

Your papers must be submitted as 
MS Office Word
 documents, using a 12-point font, double spaced and with page numbers upper right corner of each page.

In each focus paper, you must use 
at least three
 different credible, professional references to support your discussion.  Your references should be 
cited in-text
 and in 
a reference list
 using proper APA format.

The order of your paper should be: title page, body of your paper, reference list and appendix. social and economic costs of this health problem for society, families, and individuals

Puerto Rican Woman With Comorbid Addiction Assignment: Assessing and Treating Clients with Impulsivity, Compulsivity, and Addiction

The Assignment

Examine 
Case Study
 
: A Puerto Rican Woman With Comorbid Addiction
. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

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· 
Decision #1

· Which decision did you select?

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Puerto Rican Woman With Comorbid Addiction

· 
Decision #2

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· 
Decision #3

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Learning Resources

Note:
 
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
 
Course Materials
 
 section of your Syllabus.

Required Readings

Note:
 All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Stahl, S. M. (2013). 
Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
 (4th ed.). New York, NY: Cambridge University Press.

 

To access the following chapters, click on the 
Essential Psychopharmacology, 4th ed
 
tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

· Chapter 14, “Impulsivity, Compulsivity, and Addiction”

Stahl, S. M., & Grady, M. (2012). 
Stahl’s illustrated substance use and impulsive disorder
 New York, NY: Cambridge University Press.

 

To access the following chapter, click on the 
Illustrated Guides
 
tab and then the 
Substance Use and Impulsive Disorders
 
tab.

· Chapter 10, “Disorders of Impulsivity and Compulsivity”

Stahl, S. M. (2014b). 
The prescriber’s guide
 (5th ed.). New York, NY: Cambridge University Press.

 

To access information on the following medications, click on 
The Prescriber’s Guide, 5th ed
 
tab on the Stahl Online website and select the appropriate medication.

 

Review the following medications:

For insomnia

For obsessive-compulsive disorder

· Citalopram

· clomipramine

· escitalopram

· fluoxetine

· fluvoxamine

· paroxetine

· sertraline

· venlafaxine

· vilazodone

 

For alcohol withdrawal

· chlordiazepoxide

· clonidine

· clorazepate

· diazepam

· lorazepam

· oxazepam

 

For bulimia nervosa and binge eating

· fluoxetine

· topiramate

· zonisamide

For alcohol abstinence

· acamprosate

· disulfiram

 

For alcohol dependence

· nalmefene

· naltrexone

 

For opioid dependence

· buprenorphine

· naltrexone

For nicotine addiction

· bupropion

· varenicline

 

Book Excerpt:
 Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders. 
Treatment Improvement Protocol Series, No. 32
. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/

· Chapter 1, “Substance Use Among Adolescents”

· Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”

· Chapter 7, “Youths with Distinctive Treatment Needs”

University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control in adulthood, study finds. Retrieved from https://www.sciencedaily.com/releases/2016/01/160120201324.htm

Note:
 Retrieved from Walden Library databases.

Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. 
British Journal of Clinical Pharmacology, 77
(2), 375–381. doi:10.1111/j.1365-2125.2012.04457.x

Note:
 Retrieved from Walden Library databases.

Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. 
Journal of Gerontological Nursing, 42
(4), 10–15. doi:10.3928/00989134-20160314-04

Note:
 Retrieved from Walden Library databases.

Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. 
Journal of Dual Diagnosis, 8
(1), 74–84. doi:10.1080/15504263.2012.648439

Note:
 Retrieved from Walden Library databases.

Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. 
Comprehensive Psychiatry, 55
(6), 1337–1341. doi:10.1016/j.comppsych.2014.04.018

Note:
Retrieved from Walden Library databases. Puerto Rican Woman With Comorbid Addiction

Required Media

Laureate Education (2016c). 
Case study: A Puerto Rican woman with comorbid addiction
 [Interactive media file]. Baltimore, MD: Author

Note:
 This case study will serve as the foundation for this week’s Assignment.

Note: 
 
Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

· Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

· Click the 
Week 8 Assignment Rubric 
to review the Grading Criteria for the Assignment.

· Click the 
Week 8 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

· Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click 
Open
.

· If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

· Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 8 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 8 Assignment draft and review the originality report.

Nursing Assignment by Day 7

To submit your Assignment:

Week 8 Assignment

Making Connections

Now that you have:

· Assessed clients presenting with impulsivity, compulsivity, and addiction

· Developed personalized plans of therapy for clients with impulsivity, compulsivity, and addiction

· Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction

· Explored ethical and legal implications of prescribing therapy to clients with impulsivity, compulsivity, and addiction

Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for ADHD.

 

The Assignment

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

A Puerto Rican Woman With Comorbid Addiction Decision #1

Which decision did you select?NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

A Puerto Rican Woman With Comorbid Addiction Decision #2

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

A Puerto Rican Woman With Comorbid Addiction Decision #3

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

BACKGROUND

Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.”

SUBJECTIVE

Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health.

She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Puerto Rican Woman With Comorbid Addiction

Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money.A Puerto Rican Woman With Comorbid Addiction

MENTAL STATUS EXAM

The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.A Puerto Rican Woman With Comorbid Addiction

Diagnosis: Gambling disorder, alcohol use disorder

Decision 1: Antabuse (Disulfiram) 250mg orally daily

Decision 2: continue current dose of Antabuse and refer to counseling for ongoing gambling issues.

Decision 3: Explore the issues that Mrs. Perez is having with her counselor and encourage her to continue attending the Gambling Anonymous meeting, and discuss smoking cessation.

Resource: Laureate Education (2016a). Case study: A Caucasian man with hip pain [Interactive media file]. Baltimore, MD: Author

In summary: What needs to be in the essay.

-Introduction regarding disease state

-High-level summary of patient case

-Purpose of the essay statement

1, Decision 1

-What options were listed

-What option did you choose?

-Why did you select that option?

-Why didn’t you select the other two options?

-What was your goal of treatment

-Was the outcome what you expected? Why?

2, Decision 2

-What options were listed

-What option did you choose?

-Why did you select that option?

-Why didn’t you select the other two options?

-What was your goal of treatment

-Was the outcome what you expected? Why?

3, Decision 3

-What options were listed

-What option did you choose?

-Why did you select that option?

-Why didn’t you select the other two options?

What was your goal of treatment

-Was the outcome what you expected? Why?

-Conclusion with Ethical 
considerations

Resourse : Stahl, S. M. (2013). 
Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
 (4th ed.). New York, NY: Cambridge University Press

SAMPLE

Excerpt from Case Study :

Puerto Rican Woman with Comorbid Addiction: A Case Study

Ms. Perez is a 53-year-old Puerto Rican female who has complained that she is suffering from co-morbid addictions of alcoholism and gambling. Ms. Perez has sought treatment for alcoholism in the past but the combination of living near a casino and the availability of alcohol has caused her to relapse as well as to engage in gambling on a regular basis. Her gambling has negatively impacted her marriage and has also caused her to borrow significant sums from her retirement account. The patient is exhibiting the symptoms of depression, including a sad and lethargic demeanor.A Puerto Rican Woman With Comorbid Addiction

Decision One

One option for the patient is prescribing Antabuse (Disulfiram), a medication which “blocks an enzyme that is involved in metabolizing alcohol intake” and “produces very unpleasant side effects when combined with alcohol in the body” (“Antabuse,” 2017). The drug is designed to interfere with the rewards drinking alcohol produces in the patient, given that alcoholism is an addiction with both physical and mental components. Antabuse has the benefit of being specifically prescribed to treat alcohol addiction, in contrast to other medications such as Naltrexone (Vivitrol), which is prescribed for both opioid and alcohol-related addictions. Naltrexone has the disadvantage of being injected versus taken orally, and the patient has a greater sense of control over the administration of this particular drug when taken orally, which may enhance long-term compliance.A Puerto Rican Woman With Comorbid Addiction

Another possible pharmaceutical intervention is Campral (acamprosate), a drug which is also exclusively prescribed to treat alcohol dependence. However, Campral can produce very unpleasant side effects in some patients, including drowsiness “that may impair your thinking or reactions,” according to its warning label, and users are instructed to “be careful if you drive or do anything that requires you to be awake and alert” (“Campral,” 2017). Although side effects are also reported with Antabuse, drowsiness is listed as a less common side effect (“Antabuse,” 2017). The hope is to reduce the patient’s reliance upon alcohol without causing effects that could act as a deterrent in her pursuit of sobriety Puerto Rican Woman With Comorbid Addiction

Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

Assignment 1: Practicum – Week 8 Journal Entry

For 
Part 1
, select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal:

Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.

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Explain any legal and/or ethical implications related to counseling this client. Support your approach with evidence-based literature.

References

Michael Price, M. (2011). 
Searching for meaning
. American Psychological Association. Vol. 42, No.10. P. 58

Wheeler, K. (Ed.). (2014). 
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
 (2nd ed.). New York, NY: Springer Publishing Company.

· Chapter 10, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy” (Review pp. 369–406)

American Psychiatric Association. (2013). 
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author. Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

 

Note:
 You will access this text from the Walden Library databases.

Nagy, T. F. (2011). 
Ethics in psychotherapy
. In Essential ethics for psychologists: A primer for understanding and mastering core issues (pp. 185–198). Washington, DC: American Psychological Association. doi:10.1037/12345-010

 

Note:
 You will access this text from the Walden Library databases.

Required Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). 
Counseling and psychotherapy theories in context and practice
 [Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
 For this week, view Existential Therapy, Person-Centered Therapy, and Gestalt Therapy only. You will access this media from the Walden Library databases

Laureate Education (Producer). (2012b). 
Clinical supervision follow-up
 [Video file]. Baltimore, MD: Author.

 

Note:
 This is a follow-up to the Thompson family media piece in Week 5. The approximate length of this media piece is 9 minutes.

 

Accessible player

Laureate Education (Producer). (2015d). 
On a hamster wheel
 [Video file]. Baltimore, MD: Author.

 

Note:
 The approximate length of this media piece is 2 minutes.

 

Accessible player

Bugental, J. (n.d.). 
Existential-humanistic psychotherapy
 [Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
 You will access this media from the Walden Library databases. The approximate length of this media piece is 108 minutes.

Optional Resources

May, R. (n.d.). 
Rollo May on existential psychotherapy
 [Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note:
You will access this media from the Walden Library databases. The approximate length of this media piece is 61 minutes. Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

Steinert , T. (2016). 
Ethics of coercive treatment and misuse of psychiatry
. Psychiatric Services. doi:10.1176/appi.ps.201600066. Retrieved from http://ps.psychiatryonline.org/doi/10.1176/appi.ps.201600066

This week’s topic  is :  The case of  “I can’t catch my breath”

John, a healthy twenty-eight year old electrical engineer, was driving home from work one evening when he experienced sudden stabbing pain in his right pectoral and right lateral axillary regions. He began to feel out of breath and both his respiratory rate and heart rate increased dramatically. As luck would have it, John passed a hospital each day on his way home and was able to get himself to the hospital’s emergency room. The emergency room physician listened to John’s breathing with a stethoscope and requested blood gas analysis and a chest x-ray. John answered a few of the doctor’s questions. The doctor noted that John had no history of respiratory problems but was a heavy smoker. The case of  “I can’t catch my breath” Essay

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After viewing the chest radiograph, the doctor informed John that he had experienced a spontaneous pneumothorax, or what is commonly called a collapsed lung. The doctor explained that a hole had opened in John’s right lung and that this hole had allowed air to leak into the cavity surrounding the lung. Then, as a result of the lung’s own elastic nature, the lung had collapsed. The doctor said he could not be certain of the cause of thepneumothorax, but smoking cigarettes had certainly increased the likelihood of it happening. He told John he was fortunate the pneumothorax was small, which meant that relatively little air had escaped from the lung into the surrounding cavity, and it should heal on its own. He instructed John to quit smoking, avoid high altitudes, flying innon pressurized aircraft, and scuba diving. He also had John make an appointment for a re-check and another chest x-ray.

Case Background

Spontaneous pneumothorax occurs when a blister on the surface of the lung opens, allowing air from the lung to move into the pleural cavity. This occurs because alveolar pressure is normally greater than the pressure in the pleural cavity. As air escapes from the lung, the lung tissues will recoil, and the lung will begin to collapse. The lung will continue to collapse until the difference between the alveolar pressure and pleural pressure disappears or until the collapsing of the lung causes the opening to seal. The case of  “I can’t catch my breath” Essay

The pneumothorax decreases the efficiency of the respiratory system, which in turn results in decreased blood oxygen concentration, increased respiratory rate, and increased heart rate. If the pneumothorax is small, the air that escapes into the pleural cavity can be reabsorbed into the lung once the opening has sealed shut. If thepneumothorax is large, a needle or chest tube may have to be inserted into the pleural cavity to draw the air out and allow for the re expansion of the lung.

Utilizing the med terms you learned this week answer the following questions

Why was John instructed to avoid high altitudes and flying in non pressurized aircrafts?

That is, what are the effects of high altitudes and or decreased air pressures on the respiratory system. The case of  “I can’t catch my breath” Essay