ASSIGNMENTRespond to at least two of your colleagues by c.docx
•Download as DOCX, PDF•
0 likes•2 views
ASSIGNMENT: Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned( HYPERSOMNIA) to the diagnostic features of the disorder your colleagues were assigned. Note: Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format. Colleagues Respond # 1 The assigned sleep/wake disorder is Insomnia. According to Ruiz, Sadock, & Sadock (2014) insomnia is defined as difficulty initiating or maintaining sleep. It is currently considered as an independent condition where as in the past causes of the condition rather than symptoms were treated. Diagnostic Criteria for Insomnia According to American psychiatric association (2013), individuals need to meet criteria A to criteria H to diagnose insomnia. Criteria A requires one or more of the three symptoms such as difficulty in initiating sleep, difficulty in maintain sleep and early morning awakening with inability to return back to sleep which cause dissatisfaction with the sleep quantity or quality (American Psychiatric association 2013). The other criteria from B to H explains that the sleep disturbance causes impairment in social, occupational, educational, educational, behavioral or other important areas of functioning, disturbance occurs three nights per week and present for at least three months, it occurs despite adequate opportunity to sleep, insomnia do not caused by another sleep wake disorder, not attributable to physiological effect of a substance, and coexisting mental disorders or medical condition do not adequately explain insomnia (American psychiatric association 2013). Psychotherapy Treatment The psychological and behavioral therapies for insomnia according to Gabbard (2014) are sleep hygiene education, stimulus control therapy, sleep restriction, cognitive therapy, and relaxation therapies. Sleep focused cognitive-behavior therapy (SCBT) is a combination of various non pharmacological strategies and it is structured and time limited with a focus on sleep related issues (Gabbard 2014). It is for 6-8 weeks, once in each week. The treatment has shown benefit for up to six months after termination of SCBT (Gabbard 2014). However, there are some pitfalls with this treatment as it requires patient initiative, motivation and active participation in the treatment process, along with greater time commitment and limited availability of practitioners (Gabbard 2014). Psychopharmacological Treatments The pharmacological treatment of insomnia are hypnotics and the sleep medications according to Ruiz et al (2014) should not be prescribed for more than 2 weeks due to development of tolerance and withdrawal. According to Gabbard (2014) the FDA approved hypnotic agents are benzodiazepines, non-benzodiazepines, melatonin receptor agonists, and Histamine H1 receptor antagonists. For Treatment of insomnia character.
Report
Share
Report
Share
Recommended
Case An elderly widow who just lost her spouse. Subjective.docx
Case: An elderly widow who just lost her spouse.
Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
• Metformin 500mg BID
• Januvia 100mg daily
• Losartan 100mg daily
• HCTZ 25mg daily
• Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86
Insomnia is a disorder linked with difficulty in sleep quality, initiating or maintaining sleep, along with substantial distress and impairments of daytime functioning. Its prevalence ranges from 10 to 15% among the general population, with higher rates seen among females, divorced or separated individuals, those with loss of loved ones, and older people (Bollu & Kaur, 2019). Insomnia can simply be defined as a sleep disorder where the patient has trouble falling asleep or staying asleep. According to Krystal et al (2019), it is a common condition that is linked with noticeable deterioration in function and quality of life, mental and physical morbidity. The complaints of insomnia are present in 60–90% of patients with major depression, Complaints of disrupted sleep are very common in patients suffering from depression, (Wichniak, etal., 2017).
Questions you might ask the patient and rationale
The diagnosis and treatment of insomnia rely mainly on a thorough sleep history to address the precipitating factors as well as maladaptive behaviors resulting in poor sleep (Bollu & Kaur, 2019).
What is your sleep pattern including how many hours of sleep do you get at night prior to your husband’s demise and what it has been in the 10 months since his death? Does she perform certain rituals or do something special before she sleeps. This assesses if the insomnia started before or after the husband’s death. This provides a clue to insomnia that may be related to bereavement.
What time do you go to bed every night and what is your normal routine before going to bed? This is to check if the patient is doing something differently which has disrupted her normal routine and caused insomnia.
How often do you wake up to urinate at night? This question is asked to assess for nocturia due to diabetes that may lead to insomnia. Nocturia can prevent the patient from having a good night’s sleep. , changes in blood glucose levels at night causesto hypoglycemic and hyperglycemic episodes, nocturia and associated .
Respond of your colleagues who were assigned to a different.docx
Respond
of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings as a Psychiatric Nurse Practitioner.
NOTE: Positive comment
Main Post
The three questions this writer would as the patient are:
Did your depressive symptoms worsen after the death of your husband?
How many hours per night do you sleep on average?
Do you sleep throughout those hours of sleep or do you wake constantly?
Do you ingest any stimulants like coffee or chocolate before bed?
Do you sleep during the daytime?
The rationale behind question one is to gauge the timeline of the patient’s depression. She appears to have been suffering with untreated depression for a long time, however the additional symptoms of insomnia and tearfulness seemed to worsen after his death. With this information the nurse practitioner will know if her depression is in an acute state and the severity of her illness.The patient is reporting sleeplessness; however the nurse practitioner needs to gauge if the patient is participating in restful sleep. Sleep of two hours or less may only consist of REM sleep (Boland et al., 2020). If the patient is not getting restful sleep, she is not benefiting from the bodily repair that takes place during sleep (Fitzgerald et al., 2017). This can place her at an increased risk for other illnesses and heighten depressive symptoms (Uchmanowicz et al., 2019).Knowing if the patient sleeps consistently throughout those hours of sleep will provide information to the nurse about the kind and amount of sleep the patient is getting. Ingesting certain stimulants like caffeinated drinks, coffee or chocolate can affects the client’s sleep by providing wakefulness (Ulke et al., 2017). If the patient is sleeping during the daytime, her circadian rhythm could have been reversed where she will need less sleep during the night time hours (Fitzgerald et al., 2017).
The people this writer would interview are:
The patient’s aide
The patient’s son
The patient aide may be able to provide more information about observed sleepiness during the daytime. In addition, she will be able to provide information on the patient’s dietary patterns and physical activity. The questions to the aide would be:
Does she easily nod off during the daytime?
Does she easily become fatigued?
Does she consume a well-balanced diet?
Question one would illicit answers about her getting sleep.
It appears that she in fact getting sleep but because of a revered circadian rhythm she is not able to get the sleep at the night which is the desired time. Question two will help the nurse practitioner gauge the extent of the effects that non sleep has taken on the patient’s life. The patient, if constantly fatigued throughout the day has a life that has been highly impacted by the .
Respond of your colleagues who were assigned to a different .docx
Respond
of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.
NOTE: Positive comment
Main Post
The three questions this writer would as the patient are:
Did your depressive symptoms worsen after the death of your husband?
How many hours per night do you sleep on average?
Do you sleep throughout those hours of sleep or do you wake constantly?
Do you ingest any stimulants like coffee or chocolate before bed?
Do you sleep during the daytime?
The rationale behind question one is to gauge the timeline of the patient’s depression. She appears to have been suffering with untreated depression for a long time, however the additional symptoms of insomnia and tearfulness seemed to worsen after his death. With this information the nurse practitioner will know if her depression is in an acute state and the severity of her illness.The patient is reporting sleeplessness; however the nurse practitioner needs to gauge if the patient is participating in restful sleep. Sleep of two hours or less may only consist of REM sleep (Boland et al., 2020). If the patient is not getting restful sleep, she is not benefiting from the bodily repair that takes place during sleep (Fitzgerald et al., 2017). This can place her at an increased risk for other illnesses and heighten depressive symptoms (Uchmanowicz et al., 2019).Knowing if the patient sleeps consistently throughout those hours of sleep will provide information to the nurse about the kind and amount of sleep the patient is getting. Ingesting certain stimulants like caffeinated drinks, coffee or chocolate can affects the client’s sleep by providing wakefulness (Ulke et al., 2017). If the patient is sleeping during the daytime, her circadian rhythm could have been reversed where she will need less sleep during the night time hours (Fitzgerald et al., 2017).
The people this writer would interview are:
The patient’s aide
The patient’s son
The patient aide may be able to provide more information about observed sleepiness during the daytime. In addition, she will be able to provide information on the patient’s dietary patterns and physical activity. The questions to the aide would be:
Does she easily nod off during the daytime?
Does she easily become fatigued?
Does she consume a well-balanced diet?
Question one would illicit answers about her getting sleep.
It appears that she in fact getting sleep but because of a revered circadian rhythm she is not able to get the sleep at the night which is the desired time. Question two will help the nurse practitioner gauge the extent of the effects that non sleep has taken on the patient’s life. The patient, if constantly fatigued throughout the day has a life that has been highly impacted by the lack of sleep. The aide would be able to provide a clear, picture of the patient’s diet. The aide would be .
Discussion 1 Segura Herrera, Rafael EYesterdaySep 2
Discussion 1
Segura Herrera, Rafael E
YesterdaySep 26 at 10:40pm
Manage Discussion Entry
C.Z. Case Discussion
C.Z. presents with delusion, hallucination, trouble focusing, thought disorders, and speech difficulties. These symptoms suggest C.Z. has schizophrenia, as defined by the American Psychological Association (APA; 2020). Also, DSM-V include 2 or more criteria present for a significant portion of time during 1 month period, C.Z. has delusion, hallucination This paper describes schizophrenia’s etiology, course, associated abnormalities, and management.
Etiology
Schizophrenia’s etiology includes several possible causes. Potential causes include heredity, stressful events, alcohol, and substances use, especially amphetamine and cannabis, and perinatal, neuroanatomic, and neurodevelopmental factors (Rosenthal & Burchum, 2021; Hany et al., 2022). Social isolation, childhood trauma, family history, and urbanization also heighten risk (Hany et al., 2022). However, the specific cause is unknown.
Course
The course of schizophrenia is varied. Some patients may show subtle, gradual changes before schizophrenia symptoms manifest (Rosenthal & Burchum, 2021). Once the illness develops, acute episodes feature delusions and hallucinations symptoms (Rosenthal & Burchum, 2021). Patients may have less vivid residual symptoms after the acute episode, including suspiciousness, diminished judgment, reduced self-care capacity, and poor anxiety management (Rosenthal & Burchum, 2021). The condition’s long-term course features episodic acute exacerbations with partial remission intervals with progressive decline in social functioning and mental status becoming evident with time (Rosenthal & Burchum, 2021). Others may have continuous symptoms. Appropriate treatment can prevent long-term deterioration and reduce acute relapse risk.
Structural/Functional Abnormalities
Notably, schizophrenia is linked to structural and functional abnormalities. Imaging tests have shown structural abnormalities, including disrupted white matter integrity and reduced gray matter volume in parietal and temporal regions (Zhao et al., 2018). Functional abnormalities are present since schizophrenia is linked to a dysregulation of dopaminergic signaling and increased striatal activity (Zhao et al., 2018). Other functional abnormalities include abnormal neural activity and emotional and cognitive dysfunction (Zhao et al., 2018). Notably, the abnormalities occur over the disease’s course, with Zhao et al. (2018) observing abnormalities before symptoms emerge and becoming more evident with the onset of the illness.
Treatment
Pharmacotherapy is recommended for schizophrenia for symptom management to enhance and maintain recovery. APA (2020) guidelines recommend antipsychotics for patients with schizophrenia (Keepers et al., 2020). Medications for this disorder could be classified typical and atypicals, the first one also by binding affinity with D2 receptor: low, medium, and high. ...
Understanding Sleep Disorders for the Clinician Part 2.ppt
Understanding Sleep Disorders for the Clinician Part 2.ppt
Generalized anxiety disorder
This presentation contains details about generalized anxiety disorder, its symptoms and etiology along with effective treatment measure. This is for academic purpose.
Recommended
Case An elderly widow who just lost her spouse. Subjective.docx
Case: An elderly widow who just lost her spouse.
Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
• Metformin 500mg BID
• Januvia 100mg daily
• Losartan 100mg daily
• HCTZ 25mg daily
• Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86
Insomnia is a disorder linked with difficulty in sleep quality, initiating or maintaining sleep, along with substantial distress and impairments of daytime functioning. Its prevalence ranges from 10 to 15% among the general population, with higher rates seen among females, divorced or separated individuals, those with loss of loved ones, and older people (Bollu & Kaur, 2019). Insomnia can simply be defined as a sleep disorder where the patient has trouble falling asleep or staying asleep. According to Krystal et al (2019), it is a common condition that is linked with noticeable deterioration in function and quality of life, mental and physical morbidity. The complaints of insomnia are present in 60–90% of patients with major depression, Complaints of disrupted sleep are very common in patients suffering from depression, (Wichniak, etal., 2017).
Questions you might ask the patient and rationale
The diagnosis and treatment of insomnia rely mainly on a thorough sleep history to address the precipitating factors as well as maladaptive behaviors resulting in poor sleep (Bollu & Kaur, 2019).
What is your sleep pattern including how many hours of sleep do you get at night prior to your husband’s demise and what it has been in the 10 months since his death? Does she perform certain rituals or do something special before she sleeps. This assesses if the insomnia started before or after the husband’s death. This provides a clue to insomnia that may be related to bereavement.
What time do you go to bed every night and what is your normal routine before going to bed? This is to check if the patient is doing something differently which has disrupted her normal routine and caused insomnia.
How often do you wake up to urinate at night? This question is asked to assess for nocturia due to diabetes that may lead to insomnia. Nocturia can prevent the patient from having a good night’s sleep. , changes in blood glucose levels at night causesto hypoglycemic and hyperglycemic episodes, nocturia and associated .
Respond of your colleagues who were assigned to a different.docx
Respond
of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings as a Psychiatric Nurse Practitioner.
NOTE: Positive comment
Main Post
The three questions this writer would as the patient are:
Did your depressive symptoms worsen after the death of your husband?
How many hours per night do you sleep on average?
Do you sleep throughout those hours of sleep or do you wake constantly?
Do you ingest any stimulants like coffee or chocolate before bed?
Do you sleep during the daytime?
The rationale behind question one is to gauge the timeline of the patient’s depression. She appears to have been suffering with untreated depression for a long time, however the additional symptoms of insomnia and tearfulness seemed to worsen after his death. With this information the nurse practitioner will know if her depression is in an acute state and the severity of her illness.The patient is reporting sleeplessness; however the nurse practitioner needs to gauge if the patient is participating in restful sleep. Sleep of two hours or less may only consist of REM sleep (Boland et al., 2020). If the patient is not getting restful sleep, she is not benefiting from the bodily repair that takes place during sleep (Fitzgerald et al., 2017). This can place her at an increased risk for other illnesses and heighten depressive symptoms (Uchmanowicz et al., 2019).Knowing if the patient sleeps consistently throughout those hours of sleep will provide information to the nurse about the kind and amount of sleep the patient is getting. Ingesting certain stimulants like caffeinated drinks, coffee or chocolate can affects the client’s sleep by providing wakefulness (Ulke et al., 2017). If the patient is sleeping during the daytime, her circadian rhythm could have been reversed where she will need less sleep during the night time hours (Fitzgerald et al., 2017).
The people this writer would interview are:
The patient’s aide
The patient’s son
The patient aide may be able to provide more information about observed sleepiness during the daytime. In addition, she will be able to provide information on the patient’s dietary patterns and physical activity. The questions to the aide would be:
Does she easily nod off during the daytime?
Does she easily become fatigued?
Does she consume a well-balanced diet?
Question one would illicit answers about her getting sleep.
It appears that she in fact getting sleep but because of a revered circadian rhythm she is not able to get the sleep at the night which is the desired time. Question two will help the nurse practitioner gauge the extent of the effects that non sleep has taken on the patient’s life. The patient, if constantly fatigued throughout the day has a life that has been highly impacted by the .
Respond of your colleagues who were assigned to a different .docx
Respond
of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.
NOTE: Positive comment
Main Post
The three questions this writer would as the patient are:
Did your depressive symptoms worsen after the death of your husband?
How many hours per night do you sleep on average?
Do you sleep throughout those hours of sleep or do you wake constantly?
Do you ingest any stimulants like coffee or chocolate before bed?
Do you sleep during the daytime?
The rationale behind question one is to gauge the timeline of the patient’s depression. She appears to have been suffering with untreated depression for a long time, however the additional symptoms of insomnia and tearfulness seemed to worsen after his death. With this information the nurse practitioner will know if her depression is in an acute state and the severity of her illness.The patient is reporting sleeplessness; however the nurse practitioner needs to gauge if the patient is participating in restful sleep. Sleep of two hours or less may only consist of REM sleep (Boland et al., 2020). If the patient is not getting restful sleep, she is not benefiting from the bodily repair that takes place during sleep (Fitzgerald et al., 2017). This can place her at an increased risk for other illnesses and heighten depressive symptoms (Uchmanowicz et al., 2019).Knowing if the patient sleeps consistently throughout those hours of sleep will provide information to the nurse about the kind and amount of sleep the patient is getting. Ingesting certain stimulants like caffeinated drinks, coffee or chocolate can affects the client’s sleep by providing wakefulness (Ulke et al., 2017). If the patient is sleeping during the daytime, her circadian rhythm could have been reversed where she will need less sleep during the night time hours (Fitzgerald et al., 2017).
The people this writer would interview are:
The patient’s aide
The patient’s son
The patient aide may be able to provide more information about observed sleepiness during the daytime. In addition, she will be able to provide information on the patient’s dietary patterns and physical activity. The questions to the aide would be:
Does she easily nod off during the daytime?
Does she easily become fatigued?
Does she consume a well-balanced diet?
Question one would illicit answers about her getting sleep.
It appears that she in fact getting sleep but because of a revered circadian rhythm she is not able to get the sleep at the night which is the desired time. Question two will help the nurse practitioner gauge the extent of the effects that non sleep has taken on the patient’s life. The patient, if constantly fatigued throughout the day has a life that has been highly impacted by the lack of sleep. The aide would be able to provide a clear, picture of the patient’s diet. The aide would be .
Discussion 1 Segura Herrera, Rafael EYesterdaySep 2
Discussion 1
Segura Herrera, Rafael E
YesterdaySep 26 at 10:40pm
Manage Discussion Entry
C.Z. Case Discussion
C.Z. presents with delusion, hallucination, trouble focusing, thought disorders, and speech difficulties. These symptoms suggest C.Z. has schizophrenia, as defined by the American Psychological Association (APA; 2020). Also, DSM-V include 2 or more criteria present for a significant portion of time during 1 month period, C.Z. has delusion, hallucination This paper describes schizophrenia’s etiology, course, associated abnormalities, and management.
Etiology
Schizophrenia’s etiology includes several possible causes. Potential causes include heredity, stressful events, alcohol, and substances use, especially amphetamine and cannabis, and perinatal, neuroanatomic, and neurodevelopmental factors (Rosenthal & Burchum, 2021; Hany et al., 2022). Social isolation, childhood trauma, family history, and urbanization also heighten risk (Hany et al., 2022). However, the specific cause is unknown.
Course
The course of schizophrenia is varied. Some patients may show subtle, gradual changes before schizophrenia symptoms manifest (Rosenthal & Burchum, 2021). Once the illness develops, acute episodes feature delusions and hallucinations symptoms (Rosenthal & Burchum, 2021). Patients may have less vivid residual symptoms after the acute episode, including suspiciousness, diminished judgment, reduced self-care capacity, and poor anxiety management (Rosenthal & Burchum, 2021). The condition’s long-term course features episodic acute exacerbations with partial remission intervals with progressive decline in social functioning and mental status becoming evident with time (Rosenthal & Burchum, 2021). Others may have continuous symptoms. Appropriate treatment can prevent long-term deterioration and reduce acute relapse risk.
Structural/Functional Abnormalities
Notably, schizophrenia is linked to structural and functional abnormalities. Imaging tests have shown structural abnormalities, including disrupted white matter integrity and reduced gray matter volume in parietal and temporal regions (Zhao et al., 2018). Functional abnormalities are present since schizophrenia is linked to a dysregulation of dopaminergic signaling and increased striatal activity (Zhao et al., 2018). Other functional abnormalities include abnormal neural activity and emotional and cognitive dysfunction (Zhao et al., 2018). Notably, the abnormalities occur over the disease’s course, with Zhao et al. (2018) observing abnormalities before symptoms emerge and becoming more evident with the onset of the illness.
Treatment
Pharmacotherapy is recommended for schizophrenia for symptom management to enhance and maintain recovery. APA (2020) guidelines recommend antipsychotics for patients with schizophrenia (Keepers et al., 2020). Medications for this disorder could be classified typical and atypicals, the first one also by binding affinity with D2 receptor: low, medium, and high. ...
Understanding Sleep Disorders for the Clinician Part 2.ppt
Understanding Sleep Disorders for the Clinician Part 2.ppt
Generalized anxiety disorder
This presentation contains details about generalized anxiety disorder, its symptoms and etiology along with effective treatment measure. This is for academic purpose.
Pharmacotherapy of Fibromyalgia
Fibromyalgia is characterized by chronic widespread pain, increased tenderness at specific sites known as “tender points,” unrefreshing sleep, fatigue and cognitive dysfunction not attributable to other disease states.
Fibromyalgia affects 2–4% of the general population and of those affected, 80–90% are female. In general, symptom onset occurs between the ages of 30 and 60.
While the etiology of fibromyalgia is not entirely clear, associations with trauma, adverse life events, impaired mood (e.g., depression), anxiety, irritable bowel syndrome, irritable bladder syndrome, cold intolerance, paresthesias and other medical condition have been described. Consequently, a patient tailored approach to treatment is ideal to address both symptoms of fibromyalgia and any associated conditions.
Running Head PSY 350 WEEK 2 OUTLINE .docx
Running Head: PSY 350 WEEK 2 OUTLINE 3
PSY 350 WEEK 2 OUTLINE 2
Psy 350 Week 2 Outline
Tamara Golson
PSY 350 Physiological Psychology
Instructor Arthur Swisher
July 30, 2018
I. INTRODUCTION
This particular outline is a concise examination of my project topic choice titled ‘obsessive compulsive disorder’. Obsessive compulsive disorder is a neurological disorder that affects person through uncontrollable reoccurring thoughts commonly referred to as obsessions and behaviors that make one to feel the urge to be repeatedly involved in specific activities also commonly known as compulsions. The component that should be available for examination of obsessive compulsion disorder has majorly been pegged on physical examination of ones’ behavior since blood tests might not give reliable results. During obsessions as a sign of this disorder, one is always involved in actions of repeated thoughts, urges, or mental images that cause anxiety. Alternatively, the compulsive activities are always characterized by the urge to be involved in repetitive activities in response to the developed obsessive thoughts. (Rapoport, 2013) The main reason why I chose this topic is my personal experience with compulsive disorder patients. This disorder majorly affects children below 19 years of age and they grow with this condition to adulthood.
II. DISCUSSION
A. DETAILED DESCRIPTION OF OBSESSIVE COMPULSIVE DISORDER
Research studies indicate that obsessive compulsive disorder affects the cortex part of the brain hence have the implication on their behavior by making them to be obsessed to several things in a given environment which makes them have compulsive behaviors whereby such people are involved in repetitive activities because of obsessions. There also exist no documented studies that indicate subtypes of documented subtypes of obsessive compulsive disorder. (De Silva, 2014)
B. DETAILED DESCRIPTION OF THE NATURAL HISTORY OF OBSESSIVE COMPULSIVE DISORDER
Obsessive compulsive disorder development on patients has been known to occur naturally and when treatment methods are adopted, there is an always reduced chance of obsessions and compulsion. On the other hand, it becomes severe when one is left untreated.
C. METHODS USED TO DIAGNOSE, EVALUATE AND MANAGE OBSESSIVE COMPULSIVE DISORDER
Doctors have been known to adopt physical examination as the main method of diagnosing obsessive compulsion disorder. This is achieved when one depicts symptoms that indicate obsession and compulsion. This type of disorder can be managed through administration of Serotonin reuptake inhibitors (SRIs) and selective serotonin reuptake inhibitors (SSRIs) these are majorly known to reduce its severity but don’t result to permanent treatment. (American Psychiatric Association., 2013)
D. RISK FACTORS OF OB ...
Student 1 JudyWhat medications are considered first-line be
Student 1: Judy
What medications are considered first-line best practices for treating anxiety? How long can they expect these medications to take full effect? Alternative to use?
Selective serotonin reuptake inhibitors (SSRIs) are recommended as a first-line treatment for anxiety disorders (Bandelow et al., 2017). They increase serotonin levels by blocking the serotonin transporter (SERT) which helps to reduce anxiety (Stahl & Muntner, 2021). These drugs can be used long-term due to better tolerability, less sedation, and less chance of abuse or withdrawal (Bandelow et al., 2017). A study that was conducted by Jakubovski et al (2018), also reported that serotonin-norepinephrine reuptake inhibitors (SNRIs) are also the first-line
pharmacological
treatment for anxiety disorders, but higher doses of these medications are not needed to relieve anxiety. Therefore, the pharmacotherapeutic treatment is somewhat a matter of professional expertise and what the provider is comfortable with prescribing.
What therapy would be indicated for someone with anxiety?
Cognitive behavior therapy (CBT) can be indicated for someone with anxiety. It can be used to examine negative thoughts that contribute to anxiety symptoms and replace those thoughts with more positive realistic thoughts. This type of therapy approach is to help clients identify irrational thoughts and help them analyze their negative beliefs. Furthermore, the use of an SSRI with CBT can reduce the activity in the amygdala and insula which is responsible for pain and emotional perception, and addictive behaviors (Gorka et al., 2019).
What do you need to assess before prescribing a benzodiazepine? What special considerations should be given and discussed with the patient?
Benzodiazepines may be used in the management of diseases such as insomnia or anxiety. However, the use of benzodiazepines can result in respiratory depression due to its effects on the central nervous system hence patients should be educated on its use and contraindications. Benzodiazepines are recommended for short-term pharmacotherapeutic treatment use due to the significant risk of dependence. Long-term benzodiazepines should be avoided if possible due to the risk of dependence, possible abuse, and cognitive decline (Stahl, 2017). Moreover, patients should be tapered off long-term use if they can tolerate the discontinuation without severe withdrawal. According to Takaesu et al (2019), patients taking benzodiazepines are at increased risk of cognitive function decline, falls, as well as dependence, and tolerance. That being said, benzodiazepines should not be considered first-line due to their high potential for abuse.
Last Name: I-N
Body Dysmorphic Disorder (F45.22)
How would you define the disorder?
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) (2013), defines body dysmorphic disorder (BDD) as a preoccupation with one or more flaws in physical appearance that others do not see that ...
Role of atypical antipsychotics in the treatement of generalized anxiety diso...
Alternative to benzo's.
Case # 29- The depressed man who thought he was out of options. .docx
Case # 29- The depressed man who thought he was out of options.
Depression has become a common mental disorder in our elderly population. This has caused a global concern for occur, geriatric patients, as depression often results in a significant burden for families as well as communities. Elderly people who suffer from depression may have an inferior baseline and record for medical assessments than those individuals without depression. Despite consistent evidence of the effectiveness of antidepressants for many with depression,
3
particularly those with more severe depression, remission rates are disappointingly low. An AHRQ-sponsored report found that only 46% of patients experienced remission from depression during 6 to 12 weeks of treatment with second-generation antidepressants. One major reason for this issue is non-adherence to medications and treatment plans. Studies have shown that patients' age, race and ethnicity are consistently associated with predictions of outcomes. (Rossom et al., 2016).
This case study involves a 69-year old man whose chief complaint is unremitting, chronic depression. After several years of medications and treatments, he feels hopeless for a recovery from his chronic depression. This assignments seeks to explore his family and social support systems, diagnostic testing, differential diagnosis and pharmacologic treatment options for this patient.
Questions for the client
How have you been sleeping lately?
How many times in the last week have you had feelings of hopelessness?
Are you having thoughts of harming yourself? Do you have a plan?
These questions are an important yet simple place to start when treating patients. Sleep disturbances plague much of the world's population and have shown to be a major indicator for mental health issues. Changes in sleep neurophysiology are often observed in depressive patients, and impaired sleep is, in many cases, the chief complaint of depression (Armitage, 2007). Depressed patients with sleep disturbance are likely to present more severe symptoms and difficulties in treatment. In addition, persistent insomnia is the most common residual symptom in depressed patients and is considered a vital predictor of depression relapse and may contribute to unpleasant clinical outcomes (Hinkelmann et al., 20120. Questions involving feelings of hopelessness and suicidal ideations with or without a plan relate to issues of patient safety. Across psychiatric disorders, hopelessness is associated with suicidal ideation and behavior. A meta-analysis of 166 longitudinal studies (sample size not reported) found that hopelessness was associated with an increased risk of ideation (Ribeiro, Huang, Fox, & Franklin, 2018).
Family and social support system
Family and social support systems are imperative for any patient in recovery. If the patient is agreeable to discussions with family members, then a discussion with his wife would be helpful. Researc.
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh.
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh.
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
At this point, you’ve organized your HR project team and you are.docx
At this point, you’ve organized your HR project team and you are familiar with the importance of leading and managing the project and team. It is now time to plan your project, which happens to be a large and critical part of project management. Project planning tends to be collaborative and integrative in that many factors, such as scope, resourcing, budgeting, and risk need to be considered.
Write a five to six (3-5) page paper in which you:
Define and discuss scope and scheduling as they each relate to project management and provide a “Statement of Importance” to your project team so they know the relevance of each task.
Review the behavioral skills associated with project resourcing listed in the textbook at Section 9.1. and select any four (4) of the skills you consider more critical
Explain to the management team and your project team how you have determined the budget associated with project costs. How are costs aggregated? How would you explain determining cash flow for separate activities?
Discuss at least three (3) ways the project manager is able to identify possible project risks.
.
More Related Content
Similar to ASSIGNMENTRespond to at least two of your colleagues by c.docx
Pharmacotherapy of Fibromyalgia
Fibromyalgia is characterized by chronic widespread pain, increased tenderness at specific sites known as “tender points,” unrefreshing sleep, fatigue and cognitive dysfunction not attributable to other disease states.
Fibromyalgia affects 2–4% of the general population and of those affected, 80–90% are female. In general, symptom onset occurs between the ages of 30 and 60.
While the etiology of fibromyalgia is not entirely clear, associations with trauma, adverse life events, impaired mood (e.g., depression), anxiety, irritable bowel syndrome, irritable bladder syndrome, cold intolerance, paresthesias and other medical condition have been described. Consequently, a patient tailored approach to treatment is ideal to address both symptoms of fibromyalgia and any associated conditions.
Running Head PSY 350 WEEK 2 OUTLINE .docx
Running Head: PSY 350 WEEK 2 OUTLINE 3
PSY 350 WEEK 2 OUTLINE 2
Psy 350 Week 2 Outline
Tamara Golson
PSY 350 Physiological Psychology
Instructor Arthur Swisher
July 30, 2018
I. INTRODUCTION
This particular outline is a concise examination of my project topic choice titled ‘obsessive compulsive disorder’. Obsessive compulsive disorder is a neurological disorder that affects person through uncontrollable reoccurring thoughts commonly referred to as obsessions and behaviors that make one to feel the urge to be repeatedly involved in specific activities also commonly known as compulsions. The component that should be available for examination of obsessive compulsion disorder has majorly been pegged on physical examination of ones’ behavior since blood tests might not give reliable results. During obsessions as a sign of this disorder, one is always involved in actions of repeated thoughts, urges, or mental images that cause anxiety. Alternatively, the compulsive activities are always characterized by the urge to be involved in repetitive activities in response to the developed obsessive thoughts. (Rapoport, 2013) The main reason why I chose this topic is my personal experience with compulsive disorder patients. This disorder majorly affects children below 19 years of age and they grow with this condition to adulthood.
II. DISCUSSION
A. DETAILED DESCRIPTION OF OBSESSIVE COMPULSIVE DISORDER
Research studies indicate that obsessive compulsive disorder affects the cortex part of the brain hence have the implication on their behavior by making them to be obsessed to several things in a given environment which makes them have compulsive behaviors whereby such people are involved in repetitive activities because of obsessions. There also exist no documented studies that indicate subtypes of documented subtypes of obsessive compulsive disorder. (De Silva, 2014)
B. DETAILED DESCRIPTION OF THE NATURAL HISTORY OF OBSESSIVE COMPULSIVE DISORDER
Obsessive compulsive disorder development on patients has been known to occur naturally and when treatment methods are adopted, there is an always reduced chance of obsessions and compulsion. On the other hand, it becomes severe when one is left untreated.
C. METHODS USED TO DIAGNOSE, EVALUATE AND MANAGE OBSESSIVE COMPULSIVE DISORDER
Doctors have been known to adopt physical examination as the main method of diagnosing obsessive compulsion disorder. This is achieved when one depicts symptoms that indicate obsession and compulsion. This type of disorder can be managed through administration of Serotonin reuptake inhibitors (SRIs) and selective serotonin reuptake inhibitors (SSRIs) these are majorly known to reduce its severity but don’t result to permanent treatment. (American Psychiatric Association., 2013)
D. RISK FACTORS OF OB ...
Student 1 JudyWhat medications are considered first-line be
Student 1: Judy
What medications are considered first-line best practices for treating anxiety? How long can they expect these medications to take full effect? Alternative to use?
Selective serotonin reuptake inhibitors (SSRIs) are recommended as a first-line treatment for anxiety disorders (Bandelow et al., 2017). They increase serotonin levels by blocking the serotonin transporter (SERT) which helps to reduce anxiety (Stahl & Muntner, 2021). These drugs can be used long-term due to better tolerability, less sedation, and less chance of abuse or withdrawal (Bandelow et al., 2017). A study that was conducted by Jakubovski et al (2018), also reported that serotonin-norepinephrine reuptake inhibitors (SNRIs) are also the first-line
pharmacological
treatment for anxiety disorders, but higher doses of these medications are not needed to relieve anxiety. Therefore, the pharmacotherapeutic treatment is somewhat a matter of professional expertise and what the provider is comfortable with prescribing.
What therapy would be indicated for someone with anxiety?
Cognitive behavior therapy (CBT) can be indicated for someone with anxiety. It can be used to examine negative thoughts that contribute to anxiety symptoms and replace those thoughts with more positive realistic thoughts. This type of therapy approach is to help clients identify irrational thoughts and help them analyze their negative beliefs. Furthermore, the use of an SSRI with CBT can reduce the activity in the amygdala and insula which is responsible for pain and emotional perception, and addictive behaviors (Gorka et al., 2019).
What do you need to assess before prescribing a benzodiazepine? What special considerations should be given and discussed with the patient?
Benzodiazepines may be used in the management of diseases such as insomnia or anxiety. However, the use of benzodiazepines can result in respiratory depression due to its effects on the central nervous system hence patients should be educated on its use and contraindications. Benzodiazepines are recommended for short-term pharmacotherapeutic treatment use due to the significant risk of dependence. Long-term benzodiazepines should be avoided if possible due to the risk of dependence, possible abuse, and cognitive decline (Stahl, 2017). Moreover, patients should be tapered off long-term use if they can tolerate the discontinuation without severe withdrawal. According to Takaesu et al (2019), patients taking benzodiazepines are at increased risk of cognitive function decline, falls, as well as dependence, and tolerance. That being said, benzodiazepines should not be considered first-line due to their high potential for abuse.
Last Name: I-N
Body Dysmorphic Disorder (F45.22)
How would you define the disorder?
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) (2013), defines body dysmorphic disorder (BDD) as a preoccupation with one or more flaws in physical appearance that others do not see that ...
Role of atypical antipsychotics in the treatement of generalized anxiety diso...
Alternative to benzo's.
Case # 29- The depressed man who thought he was out of options. .docx
Case # 29- The depressed man who thought he was out of options.
Depression has become a common mental disorder in our elderly population. This has caused a global concern for occur, geriatric patients, as depression often results in a significant burden for families as well as communities. Elderly people who suffer from depression may have an inferior baseline and record for medical assessments than those individuals without depression. Despite consistent evidence of the effectiveness of antidepressants for many with depression,
3
particularly those with more severe depression, remission rates are disappointingly low. An AHRQ-sponsored report found that only 46% of patients experienced remission from depression during 6 to 12 weeks of treatment with second-generation antidepressants. One major reason for this issue is non-adherence to medications and treatment plans. Studies have shown that patients' age, race and ethnicity are consistently associated with predictions of outcomes. (Rossom et al., 2016).
This case study involves a 69-year old man whose chief complaint is unremitting, chronic depression. After several years of medications and treatments, he feels hopeless for a recovery from his chronic depression. This assignments seeks to explore his family and social support systems, diagnostic testing, differential diagnosis and pharmacologic treatment options for this patient.
Questions for the client
How have you been sleeping lately?
How many times in the last week have you had feelings of hopelessness?
Are you having thoughts of harming yourself? Do you have a plan?
These questions are an important yet simple place to start when treating patients. Sleep disturbances plague much of the world's population and have shown to be a major indicator for mental health issues. Changes in sleep neurophysiology are often observed in depressive patients, and impaired sleep is, in many cases, the chief complaint of depression (Armitage, 2007). Depressed patients with sleep disturbance are likely to present more severe symptoms and difficulties in treatment. In addition, persistent insomnia is the most common residual symptom in depressed patients and is considered a vital predictor of depression relapse and may contribute to unpleasant clinical outcomes (Hinkelmann et al., 20120. Questions involving feelings of hopelessness and suicidal ideations with or without a plan relate to issues of patient safety. Across psychiatric disorders, hopelessness is associated with suicidal ideation and behavior. A meta-analysis of 166 longitudinal studies (sample size not reported) found that hopelessness was associated with an increased risk of ideation (Ribeiro, Huang, Fox, & Franklin, 2018).
Family and social support system
Family and social support systems are imperative for any patient in recovery. If the patient is agreeable to discussions with family members, then a discussion with his wife would be helpful. Researc.
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh.
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh.
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood Disorders
A mood disorder describes a psychological disorder which is characterized as a fluctuation of one’s mood, such as a major depressive or bipolar disorder. An estimated 20 million individuals in the United States have depression which comprises of symptoms such as a loss of pleasure in activities, sadness, weight changes, feelings of hopelessness, fatigue as well as suicidal ideation; all of which can significantly impact daily functioning (Mental Health.gov, 2017). According to Park and Zarate (2019) onset of depression in adulthood continues to flourish where an estimated 30 percent of adults have a lifetime risk of experiencing a major depressive episode with a median age of 32.5. The author further indicates screening for depression, a thorough evaluation, and monitoring is necessary to ensure safety and wellbeing (Park & Zarate, 2019). Pharmacotherapy, along with psychotherapy are first-line therapies for effective outcomes (Park & Zarate, 2019). The purpose of this paper is to review a case study, choose the appropriate selection utilizing research, and discuss ethical considerations.
Case Study
A 32-year-old Hispanic American client presents to the initial appointment with depression. Health history, along with medical workup, appears to be unremarkable except for the slight back and shoulder pain due to his occupation. The clinical interview reveals past feelings of being an “outsider” and has few friends (Laureate Education, 2016). There is a decline in daily activities, a weight increase of 15 pounds over two months, along with diminished sleep and the inability to fully concentrate (Laureate Education, 2016). The results of the depression screening administered by the psychiatric mental health nurse practitioner (PMHNP), indicates severe depression with a score of 51 (Montgomery & Asberg, 1979).
Decision Point One
The selections include Zoloft 25 mg orally daily, Effexor 37.5 XR mg orally daily, or Phenelzine 15 mg orally TID. As a healthcare professional treating a client, Zoloft (sertraline) 25 mg is the first choice at decision point one. Selective serotonin reuptake inhibitors (SSRIs) impede the reabsorption of this neurotransmitter; thus, increasing the serotonin levels of the nerve cells in the brain to allow for improvement in mood (Stahl, 2013). SSRIs have been utilized as first-line therapy to treat major depressive disorder due to efficacy, fewer side effects, cost-effectiveness as well as a wider availability (Masuda et al., 2017). The therapeutic dosing range is typically 50 mg-200 mg (Stahl, 2017). However, beginning at 25 mg and gradually titrating the dose, depending on tolerability, is an appropriate health care decision (National Alliance on Mental Illness, 2018b). Therefore, a low dose of Zoloft appears to be the best option in caring for this client.
Effexor (venlafaxine) is classified as a selective serotonin-norepinephrine reuptake inhibitor (SNRI) wh ...
Similar to ASSIGNMENTRespond to at least two of your colleagues by c.docx (18)
Student 1 JudyWhat medications are considered first-line be
Student 1 JudyWhat medications are considered first-line be
Role of atypical antipsychotics in the treatement of generalized anxiety diso...
Role of atypical antipsychotics in the treatement of generalized anxiety diso...
Case # 29- The depressed man who thought he was out of options. .docx
Case # 29- The depressed man who thought he was out of options. .docx
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood DisordersA mood d.docx
Assessing and Treating Adult Clients with Mood DisordersA mood d
Assessing and Treating Adult Clients with Mood DisordersA mood d
More from mckellarhastings
At this point, you’ve organized your HR project team and you are.docx
At this point, you’ve organized your HR project team and you are familiar with the importance of leading and managing the project and team. It is now time to plan your project, which happens to be a large and critical part of project management. Project planning tends to be collaborative and integrative in that many factors, such as scope, resourcing, budgeting, and risk need to be considered.
Write a five to six (3-5) page paper in which you:
Define and discuss scope and scheduling as they each relate to project management and provide a “Statement of Importance” to your project team so they know the relevance of each task.
Review the behavioral skills associated with project resourcing listed in the textbook at Section 9.1. and select any four (4) of the skills you consider more critical
Explain to the management team and your project team how you have determined the budget associated with project costs. How are costs aggregated? How would you explain determining cash flow for separate activities?
Discuss at least three (3) ways the project manager is able to identify possible project risks.
.
At the beginning of 2012, the Jeater company had the following balan.docx
At the beginning of 2012, the Jeater company had the following balances in its accounts: During 2012, the company experienced the following events.
1. Purchased inventory that cost $2,000 on account from Blue Company under terms 1/10, n/30. The merchandise was delivered FOB shipping point. Freight cost of $110 were paid in cash.
2. Returned $200 of the inventory that it had purchased because the inventory was damaged in transit. The freight company agreed to pay the return freight cost.
3. Paid the amount due on its account payable to Blue Company within the cash discount period.
4. Sold inventory that had cost $3,000 for $5,500 on account, under terms 2/10, n/45
5. Recieved merchandise returned from a customer. The merchandise orignally cost $400. and was sold to the customer for $710 cash during the previous accounting period. The customer was paid $710 cash for the returned merchandise/
6. Delivered goos FOB destination in event 4. Freight cost of $60 were paid in cash.
7. Collected the amount due on the account receivable within the discount period.
8. Took a physical count indicating that $7,970 of inventory was on hand at te end of the accounting period.
REQUIRED
a.Indentify these events as assets source (AS), asset use (AU), Asset exchange (AE), or claims exchange (CE)
b.Record each event in a statements model like the following.
C. Prepare an income statement, a statement of change in stockholders' equity, a balance sheet, and a statemet of cash flows.
.
At many different points throughout the collection Born a Crime, Tre.docx
At many different points throughout the collection Born a Crime, Trevor Noah describes
the complications of his racial identity. Write an essay analyzing the role that race played
in challenging and facilitating the author's understanding of himself as he grew up.
Pre-Writing: Make a list of all the incidents from the book that show Trevor’s racial
identity making things easier for him or difficult. Then choose one example of challenging
and one example of facilitating.
Outline:
I: Introduction- Background of the book in 2-3 sentences. Thesis statement (This should be the
last sentence of your introduction.)
II. 1 st Main Body Paragraph: First example of Trevor’s race making things challenging for him
III. 2 nd Main Body Paragraph: Second example of Trevor’s race facilitating things for him.
IV: Conclusion: Wrap up the discussion- restate the thesis statement- End with so what? What
was the overall impact of race on Trevor’s life?
.
At least 200 wordss or more per question. Answer UNDER question. And.docx
At least 200 wordss or more per question. Answer UNDER question. And please include citations and references. Thank yOU
Objectives/Competencies
1.1
Identify treatment systems, modalities, and models of adolescent care. Ex. Group Therapy, Ind. Therapy
1.2Analyze the approaches to treatment strategies for adolescents.
1.3Examine youth-focused treatment programs.
.
At least 200 words per question. Chapter 11The Idea .docx
At least 200 words per question.
Chapter 11
The Idea of Craft Asks the class to try to define the word “craft.” What items do the students associate with the word “craft”? Are these items cheap or expensive? Does it conjure images of utilitarian goods like vases, pots, and rugs or items that are meant to be appreciated as beautiful objects? What is the difference between fine art, decorative arts, crafts, and design? During the Renaissance, craft objects were degraded as mere handiwork, not designed for serious contemplation or for aesthetic value. This distinction did not exist in other parts of the world, such as in Japan where a teacup could be considered a priceless work of art. How did the Industrial Revolution impact attitudes towards crafts and design?
Japanese Tea Ceremony The tea ceremony, a ritual performance in which the audience takes part, is a unique aspect of Japanese culture. The setting, the ceremony, the artwork, and the utensils are all supposed to conform to the principles of harmony, respect, purity, and tranquility, and wabi, the principle of quiet simplicity. Discuss images of the Japanese Tea Ceremony. Are these aforementioned aspects present in the ceremony and the design of the tools used? What is the significance of calligraphy in the ceremony? What is the significance of the floral arrangements?
Chapter 13
Focus on the Figure This chapter contains a variety of figural artwork. Choose several images of figurative work, such as Justinian and Attendants, Walking Buddha, and Gislebertus, Last Judgment. How are the figures included in these works similar? How are they different? Are they realistic or naturalistic? What are the figures most prominent features? What is their purpose? What culture and/or time period are they from? How can you tell? What stylistic differences or similarities do you notice? What types of beliefs could be embodied by these figures?
Chapter 14
Over on the Dark Side Lewis and Lewis refer to the Northern Renaissance as “The Darker Side.” What is meant by the dark side? What does it imply? The lack of images in Protestant churches is also referred to as the “darker side of the Reformation.” Does this imply that the liberal use of imagery and decorations in a church would be the “lighter side?
.
At least 150 words each. Use a reference for each question and us.docx
At least 150 words each. Use a reference for each question and use APA style. Do a turn it in report.
Q. 4.1 Incorporating global education means teaching skills and knowledge that is applicable to various situations and settings. Which of these skills and knowledge do you feel is most significant for students? Why? Which is most significant for educators? Why?
Q.4.2 What role does an educator have in ensuring students receive global education? How does an educator ensure this and how is it presented to students? Parents? Other stakeholders?
.
At least 250 words per question. Chapter 11The Idea of Craft A.docx
At least 250 words per question.
Chapter 11
The Idea of Craft Asks the class to try to define the word “craft.” What items do the students associate with the word “craft”? Are these items cheap or expensive? Does it conjure images of utilitarian goods like vases, pots, and rugs or items that are meant to be appreciated as beautiful objects? What is the difference between fine art, decorative arts, crafts, and design? During the Renaissance, craft objects were degraded as mere handiwork, not designed for serious contemplation or for aesthetic value. This distinction did not exist in other parts of the world, such as in Japan where a teacup could be considered a priceless work of art. How did the Industrial Revolution impact attitudes towards crafts and design?
Japanese Tea Ceremony The tea ceremony, a ritual performance in which the audience takes part, is a unique aspect of Japanese culture. The setting, the ceremony, the artwork, and the utensils are all supposed to conform to the principles of harmony, respect, purity, and tranquility, and wabi, the principle of quiet simplicity. Discuss images of the Japanese Tea Ceremony. Are these aforementioned aspects present in the ceremony and the design of the tools used? What is the significance of calligraphy in the ceremony? What is the significance of the floral arrangements?
Chapter 13
Focus on the Figure This chapter contains a variety of figural artwork. Choose several images of figurative work, such as Justinian and Attendants, Walking Buddha, and Gislebertus, Last Judgment. How are the figures included in these works similar? How are they different? Are they realistic or naturalistic? What are the figures most prominent features? What is their purpose? What culture and/or time period are they from? How can you tell? What stylistic differences or similarities do you notice? What types of beliefs could be embodied by these figures?
Justinian and Attendants Walking Budaaha Gislebertus, Last Judgment
Chapter 14
Over on the Dark Side Lewis and Lewis refer to the Northern Renaissance as “The Darker Side.” What is meant by the dark side? What does it imply? The lack of images in Protestant churches is also referred to as the “darker side of the Reformation.” Does this imply that the liberal use of imagery and decorations in a church would be the “lighter side?
.
At its core, pathology is the study of disease. Diseases occur for m.docx
At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.
Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.
For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.
To prepare:
By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
I will be adding a discussion that will need a reply after. I will add 2 of them but at a different time depending on when they are availabe.
Julia's discussion
In this scenario, it appears that a 16-year-old boy had an allergic reaction to amoxicillin. While this is unfortunate and was probably unavoidable, the provider could have reduced the risk of a medical emergency by asking a few questions. Genetics is important as familial tendency to develop allergic conditions is thought to have a genetic link. In an article published in
PubMed
, the authors wrote “The allergic diseases are complex phenotypes for which a strong genetic basis has been firmly established.” (Ortiz & Barnes, 2014). It does not say in the scenario, but family medical history could have identified an increased risk for this child, but the order was most appropriate given the diagnosis of Strep throat and the available history.
According to the required reading this week, the clinical manifestations of an allergic reaction are related to histamine being released into the body McCance, K. & Huether, S., 2019) . Acute allergic reactions are mediated by IgE antibodies and arises rapidly after exposure. Symptoms include hypotension, bronchospasm, angioedema (swelling), and urticaria (itching), all reported reactions in this scenario. Acute allergic reactions result from the immune system identifying a substance, in this case, amoxicillin as dangerous as a result of previous exposure (Bhattacharya, 2010). After exposure, there are antibody receptors for that substance in the body, another .
assumptions people make about this topic (homelessness, immigration,.docx
assumptions people make about this topic (homelessness, immigration, drug addiction, mental illness, millennials, etc.). Your essay must use at least three outside sources to support your argument. For each citation, be sure to use APA style, properly introduce the source, and explain how it supports your ideas.
.
At age 12, Freeman Hrabowski marched with Martin Luther King. Now he.docx
At age 12, Freeman Hrabowski marched with Martin Luther King. Now he's president of the University of Maryland, Baltimore County (UMBC), where he works to create an environment that helps under-represented students -- specifically African-American, Latino and low-income learners -- get degrees in math and science. He shares the four pillars of UMBC's approach.
What are your the 4 pillars of Science success?
Which ones to identify with?
Do you have any other pillar to add?
After giving your opinion reply to 2 students with substantial evidence on your points.
watch the video
4 pillars of college success in science
https://www.youtube.com/watch?v=9EglK8Mk18o
.
At each of the locations listed below, there is evidence of plat.docx
At each of the locations listed below, there is evidence of plate tectonic activity present at the Earth's surface.
Salton Sea in California, USA
Thingvellir (Þingvellir) National Park in Iceland
Research the two locations and develop a PowerPoint presentation that could be used to teach tourists visiting each site about the geologic phenomenon contributing to what they see. Your submission must address the following:
Your PowerPoint presentation should:
Have a title slide.
Contain at least 6 content slides (3 for each site).
Reflect proper spelling and grammar.
Cite at least 2 credible references and present the sources in APA format on a References slide.
For
each
of the sites:
Describe the type of plate tectonic activity that is occurring (i.e. boundary, movement, etc.) and include appropriate diagram(s) to help illustrate.
Explain the evidence (events, landforms, and/or conditions) that supports tectonic activity is occurring.
.
Assume you hold the Special Agent in Charge role of the Joint .docx
Assume
you hold the Special Agent in Charge role of the Joint Terrorism Task Force, Minneapolis field office. Your squad is responsible for identifying and mitigating the threat of the Al Shabaab efforts to recruit local Somali youths into their global terrorist efforts. A high turnover means that your squad presently includes local law enforcement, Department of Defense agents, and other members of the intelligence community. You need to provide them with information for preventing or mitigating a threat to ensure the protection of critical infrastructure and soft targets in your area of responsibility.
Research
the characteristics of individuals in the local Somali population most vulnerable to terrorist recruitment.
-Explain how culture, religion, socioeconomic status, and family can affect terrorist recruitment and mentality
-An outline of the characteristics of individuals in the local Somali population most vulnerable to terrorist recruitment
-The impact of familial influence to terrorism
-Techniques for recruitment methods
-Techniques for addressing and coping with the poor socioeconomic conditions in Minneapolis
-Methods for dealing with extremist ideals and influences, such as racism and radicalism
Include
APA-formatted citations when necessary and a references
.
Assume you are a DFI and you must deliver a presentation to the Stat.docx
Assume you are a DFI and you must deliver a presentation to the State Attorney’s office highlighting the advantages and opportunities of different digital forensic tools.
For this assignment, You must create a PowerPoint presentation that contains the following:
Title
Presentation objectives
Analysis of digital forensic tools (hardware and software) in four categories: malware, accounting, and two additional categories of your choosing.
Recommendation for the use of two digital forensic tools in each category.
Evaluation of the recommended tools with a convincing set of reasons for the selection of each tool.
Identification of the source of all copied images and tables.
Conclusion
Add speaker notes to each slide to assist with the presentation of the slide material
Length: 12-15 slides
References: Cite a minimum of 5 quality resources/references
.
Assume that you work for the District Board of Education. The Direct.docx
Assume that you work for the District Board of Education. The Directors of the Board of education have assigned you to examine crime in K-12 (Kindergarten to 12th grade) settings. You are required to submit a report on crime in the educational environment. In your report:
Identify and analyze the different crimes for which students are most at risk for in K-12, include some of the differences in victimization found across elementary, middle school, high schools, and college. Provide reasons why you think these crimes occur within the schools.
Mention at least one crime each that is unique to elementary, middle, and high school. Refer to a case you know of or have read about in the media. Why do you think the crime unique to each school level does not occur at other school levels?
Assess the various strategies that can be undertaken to reduce crime at elementary, middle, and high school levels. Mention strategies that are specific for each level and that are common to all levels of schooling. Provide reasoning for your answer.
Write a report to the head of the task force assessing the details of your findings.
.
Assume that you have been tasked by your employer to develop an inci.docx
Assume that you have been tasked by your employer to develop an incident response plan. Create a list of stakeholders for the IR planning committee. For each type of stakeholder, provide the reasons for inclusion and the unique aspects or vision that you believe each of these stakeholders will bring to the committee.
.
Assume that you generate an authenticated and encrypted message by f.docx
Assume that you generate an authenticated and encrypted message by first applying the RSA transformation determined by your private key and then enciphering the message using the recipients public key. Explain why this methodology will or will not make it possible to recognize the original message at the recipient's site.
1 page
.
Assume that you are in your chosen criminal justice profession, .docx
Assume that you are in your chosen criminal justice profession, such as law enforcement officer, probation officer, or criminal investigator.
Examine the Fourth and Fifth Amendments and discuss the steps you would take to ensure that actions do not violate a citizen’s Fourth and Fifth Amendment rights.
.
More from mckellarhastings (20)
Conduct an internet search finding a job you are interested (HR .docx
Conduct an internet search finding a job you are interested (HR .docx
Conduct an Internet or library search for information on The Bay of.docx
Conduct an Internet or library search for information on The Bay of.docx
Conduct an internet search about the murder of Yeardley Love. After .docx
Conduct an internet search about the murder of Yeardley Love. After .docx
At this point, you’ve organized your HR project team and you are.docx
At this point, you’ve organized your HR project team and you are.docx
At the beginning of 2012, the Jeater company had the following balan.docx
At the beginning of 2012, the Jeater company had the following balan.docx
At many different points throughout the collection Born a Crime, Tre.docx
At many different points throughout the collection Born a Crime, Tre.docx
At least 200 wordss or more per question. Answer UNDER question. And.docx
At least 200 wordss or more per question. Answer UNDER question. And.docx
At least 200 words per question. Chapter 11The Idea .docx
At least 200 words per question. Chapter 11The Idea .docx
At least 150 words each. Use a reference for each question and us.docx
At least 150 words each. Use a reference for each question and us.docx
At least 250 words per question. Chapter 11The Idea of Craft A.docx
At least 250 words per question. Chapter 11The Idea of Craft A.docx
At its core, pathology is the study of disease. Diseases occur for m.docx
At its core, pathology is the study of disease. Diseases occur for m.docx
assumptions people make about this topic (homelessness, immigration,.docx
assumptions people make about this topic (homelessness, immigration,.docx
At age 12, Freeman Hrabowski marched with Martin Luther King. Now he.docx
At age 12, Freeman Hrabowski marched with Martin Luther King. Now he.docx
At each of the locations listed below, there is evidence of plat.docx
At each of the locations listed below, there is evidence of plat.docx
Assume you hold the Special Agent in Charge role of the Joint .docx
Assume you hold the Special Agent in Charge role of the Joint .docx
Assume you are a DFI and you must deliver a presentation to the Stat.docx
Assume you are a DFI and you must deliver a presentation to the Stat.docx
Assume that you work for the District Board of Education. The Direct.docx
Assume that you work for the District Board of Education. The Direct.docx
Assume that you have been tasked by your employer to develop an inci.docx
Assume that you have been tasked by your employer to develop an inci.docx
Assume that you generate an authenticated and encrypted message by f.docx
Assume that you generate an authenticated and encrypted message by f.docx
Assume that you are in your chosen criminal justice profession, .docx
Assume that you are in your chosen criminal justice profession, .docx
Recently uploaded
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH ANSWERS.
Acetabularia Information For Class 9 .docx
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
The geography of Taylor Swift - some ideas
Geographical themes connected with Taylor Swift's ERAS tour - coming to the UK in June 2024
Polish students' mobility in the Czech Republic
Polish students mobility to the Czech Republic within eTwinning project "Medieval adventures with Marco Polo"
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
A Strategic Approach: GenAI in Education
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Unit 8 - Information and Communication Technology (Paper I).pdf
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI funded books
Wednesday 22 May 2024, 14:00-15:00.
Model Attribute Check Company Auto Property
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
678020731-Sumas-y-Restas-Para-Colorear.pdf
KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
Class 11 CBSE Business Studies Project ( AIDS TO TRADE - INSURANCE)
The Challenger.pdf DNHS Official Publication
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Operation Blue Star - Saka Neela Tara
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxMohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
This slide is prepared for master's students (MIFB & MIBS) UUM. May it be useful to all.Embracing GenAI - A Strategic Imperative
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Overview on Edible Vaccine: Pros & Cons with Mechanism
This ppt include the description of the edible vaccine i.e. a new concept over the traditional vaccine administered by injection.
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...Nguyen Thanh Tu Collection
https://app.box.com/s/hqnndn05v4q5a4k4jd597rkdbda0fniiRecently uploaded (20)
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
ASSIGNMENTRespond to at least two of your colleagues by c.docx
- 1. ASSIGNMENT: Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned( HYPERSOMNIA) to the diagnostic features of the disorder your colleagues were assigned. Note: Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format. Colleagues Respond # 1 The assigned sleep/wake disorder is Insomnia. According to Ruiz, Sadock, & Sadock (2014) insomnia is defined as difficulty initiating or maintaining sleep. It is currently considered as an independent condition where as in the past causes of the condition rather than symptoms were treated. Diagnostic Criteria for Insomnia
- 2. According to American psychiatric association (2013), individuals need to meet criteria A to criteria H to diagnose insomnia. Criteria A requires one or more of the three symptoms such as difficulty in initiating sleep, difficulty in maintain sleep and early morning awakening with inability to return back to sleep which cause dissatisfaction with the sleep quantity or quality (American Psychiatric association 2013). The other criteria from B to H explains that the sleep disturbance causes impairment in social, occupational, educational, educational, behavioral or other important areas of functioning, disturbance occurs three nights per week and present for at least three months, it occurs despite adequate opportunity to sleep, insomnia do not caused by another sleep wake disorder, not attributable to physiological effect of a substance, and coexisting mental disorders or medical condition do not adequately explain insomnia (American psychiatric association 2013). Psychotherapy Treatment The psychological and behavioral therapies for insomnia according to Gabbard (2014) are sleep hygiene education, stimulus control therapy, sleep restriction, cognitive therapy, and relaxation therapies. Sleep focused cognitive-behavior therapy (SCBT) is a combination of various non pharmacological strategies and it is structured and time limited with a focus on sleep related issues (Gabbard 2014). It is for 6-
- 3. 8 weeks, once in each week. The treatment has shown benefit for up to six months after termination of SCBT (Gabbard 2014). However, there are some pitfalls with this treatment as it requires patient initiative, motivation and active participation in the treatment process, along with greater time commitment and limited availability of practitioners (Gabbard 2014). Psychopharmacological Treatments The pharmacological treatment of insomnia are hypnotics and the sleep medications according to Ruiz et al (2014) should not be prescribed for more than 2 weeks due to development of tolerance and withdrawal. According to Gabbard (2014) the FDA approved hypnotic agents are benzodiazepines, non- benzodiazepines, melatonin receptor agonists, and Histamine H1 receptor antagonists. For Treatment of insomnia characterized by difficulty in falling asleep, frequent nocturnal awakenings, and/or early morning awakening flurazepam can be used which is a benzodiazepine (Gabbard 2014). It is expected to work in one hour and if it does not work after 7-10 days it may be manifestation of primary psychiatric or physical illness (Stahl 2014) The other benzodiazepines used for insomnia are Temazepam, and Triazolam which are used for short term treatment of insomnia. Benzodiazepines used to treat individuals with difficulty in falling asleep, frequent nocturnal awakenings, and/or early morning awakenings are Quazepam, and Estazolam (short term use). The non-benzodiazepines which can be used for insomnia are zolpidem which is available in oral pill, oral spray, extended release and sublingual, zaleplon, and eszopiclone (Gabbard 2014). Ramelteon which is a melatonin
- 4. receptor agonist used for sleep onset and Doxepin which is a histamine H1 receptor antagonist also used for sleep maintenance (Gabbard 2014) There are over the counter treatments such as sedating antihistamines, protein precursors. Melatonin is an endogenous hormone produced by the pineal gland to regulate sleep and exogenous form of melatonin have resulted in mixed results in insomnia (Ruiz et al., 2014). Point at which Referral is Required Individuals with sleep disorders because of breathing related sleep disorders, treatment should be by a specialist other than the psychiatry practitioner. Conditions such as obstructive sleep apnea hypopnea where the symptoms are excessive sleepiness, snoring, obesity, restless sleep, nocturnal awakening with chocking or gasping for breath, morning dry mouth, morning head aches and heavy nocturnal sweating (Ruiz et al., 2014). Another situation where a referral is needed is in elderly individuals where the insomnia is related to central sleep apnea where it is caused by lack of respiratory effort leads to repeated efforts of apneas and hypopneas in a periodic intermittent pattern during sleep (Ruiz et al., 2014). The lack of respiratory effort is due to disorder of ventilatory control (Ruiz et al., 2014). Comorbid sleep-related hypoventilation occurs as a consequence of medical condition such as pulmonary
- 5. parenchymal or vascular pathology, lower airway obstruction or neuromuscular or chest wall disorders (Ruiz et al., 2014) and it requires a referral to appropriate medical practitioner. Common neurological issues associated with insomnia are epilepsy, neuromuscular disorders, movement disorders, and stroke. If the patients sleep disturbance is related to above condition, clients must be referred to neurologists (Penn medicine 2020). Colleagues Respond # 2 Parasomnia Disorder Parasomnia is a sleep disorder that causes abnormalities in sleeping behavior. We can see the behavior at any stage of sleep that includes the transition from wakefulness to sleep. Having parasomnia makes one move around, do unusual things during sleep, and even talk. This makes other people think you are awake while, in the real sense, the person is unconscious, and definitely, you won't remember anything about the incident. This condition is common but makes sleep difficult by giving one a restless sleep (Mysliwiec, 2018). It might disturb someone's sleep and even other people in the same room. This condition can be dangerous to other people, especially since they are not are of the surroundings, and it has health-related side effects, including psychological stress. Just like any other sleep disorder, this condition is treatable. Diagnosis of Parasomnia A primary doctor can help diagnose the parasomnia condition, and they will most likely refer you to see a sleep specialist who
- 6. further will examine the sleeping behavior. The diagnosis includes the following: the doctor will follow up on the medical history, and they will ask about the underlying medical conditions, lifestyle, family history, and current medications. Sleep history will be analyzed, and a sleep diary will show sleep behavior patterns. This can be achieved with the help of sleeping partners who can observe how one sleeps. Polysomnogram is where one has to sleep in the lab overnight, where the specialist will analyze the individual's sleeping behavior. They will have to record the breathing, heart rate, and brain waves to make the diagnosis. Parasomnia Treatment The treatments of this condition can be varying depending on the severity and the frequency of the individual's symptoms. In the first instance, the doctor must observe and identify the underlying health issues or sleep disorders. If there is an existing condition, treating it may also result in treating the resulting parasomnia. Hypnosis, talk therapy, and cognitive behavioral therapy may help relieve the symptoms associated with NREM parasomnias. There are tranquilizers, which include benzodiazepines, which are very useful in treating arousal of parasomnias such as the RBD and sleepwalking (Schenck, 2019). People who live with individuals with movement-related parasomnia such as sleepwalking and RBD may need to sleep in a separate bedroom with such individuals. This will create a safe environment by removing padding and sharp object in the bedroom furniture. In children Most of the parasomnias occur in children except for the RBD condition, mostly seen in male adults. Some of the causes of
- 7. this condition are genetic components of the family and maybe running in the family's bloodline. This condition does not have significant adverse health effects; however, RBD indicates an underlying neurological condition. As children get older, the frequency of parasomnia episodes decreases. Medical treatment cannot be necessary at this stage unless the symptoms affect the child’s daily activities or mental health. Behavioral therapy, hypnosis, and relaxation techniques are methods that can be used to reduce the frequency and intensity of the parasomnias resulting from anxiety or stress. A doctor may prescribe antidepressants or tranquilizers for children with frequent or severe sleep terrors or sleepwalking (Thorpy, 2017). In conclusion, parasomnias can interfere with someone's quality of sleep and increase the risk of injuries or accidents. Fortunately, this condition is treatable and can be resolved mostly during the childhood stages. An individual may seek medical advice when they notice that their loved ones exhibit the symptoms of parasomnia.