case scenario being used for this discussion post:
ABS 300 Week One Assessment Scenario Donna, age 14, had consistently been a B+/A- student throughout elementary school and the beginning of middle school. However, in the 8th grade, she started demonstrating difficulty understanding some of her work. Increased difficulties were noted when she was required to work with abstract concepts rather than rely on rote memorization. Donna had always been fascinated with flowers, and she could remember the details of hundreds of different species of wild and domestic flower she encountered. Donna’s classmates and cousins thought she was odd, and her mother said that Donna was frequently picked on—at times without even realizing she was being made fun of. Donna was described as a confused and socially awkward girl who tended to keep to herself. The incident that led to her first psychological evaluation occurred after one of her classmates teased her repeatedly over several days to the point of making Donna upset. Donna decided to write a threatening note to the student as a warning for him to stop. The note included details of which species of flowers would be found growing on top of the place he would be buried. The boy’s parents brought the note to the principal and Donna was suspended from school and charged with terroristic threatening. The school ordered a psychological evaluation and risk assessment before they allowed her to return to school. Donna was observed to have awkward mannerisms, and she smiled at what appeared to be inappropriate times, for example, when she was talking about the teasing at school. She made very poor eye contact in ways that were atypical for her culture, and she had a difficult time staying on topic, frequently shifting the topic of conversation onto her interest in flower. Donna’s intelligence was found to be in the upper limits of the average range on the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V). The Gilliam Asperger's Disorder Scale as rated by Donna and her mother together was in the clinically significant range, with her largest deficits being reflected in her social interactions scale. There were also deficits noted in pragmatic skills, restricted patterns of behavior, and cognitive patterns. Problems were also noted with reciprocal social interaction skills, communication skills, and stereotyped behaviors, interests, and activities. Donna's QEEG results showed multiple abnormalities. Her right parietal-temporal lobe showed excessively slow activity. This is an area important for facial recognition and empathy. She also had excessive mid-line frontal hi-beta, something that is often seen in those with mental rigidity and obsessive thinking. Multiple problems in coherence were noted, reflecting cognitive inefficiency in her mental processing. Excessive connectivity was noted in the frontal lobes areas and there were excessive disconnections between her frontal lobes and the central and bac.
Ethical and Professional Issues in Psychological AssessmentPrior t.docxAlleneMcclendon878
Ethical and Professional Issues in Psychological Assessment
Prior to beginning work on this assignment, read the required textbook chapters and articles for this week and view the American Psychological Association behavioral assessment video. For this discussion, you will take on the role of the private psychologist being asked to re-evaluate a client. Carefully review the
ABS 300 Week One Assessment Scenario
.
In your initial post, write a rationale for either agreeing or disagreeing with the request to re-evaluate the client based on the information available. Explain which theoretical assumptions about psychological testing and assessment support your decision. Discuss the ethical responsibilities a psychologist must consider if choosing to use psychological assessment tools to re-evaluate the client. Provide a pro/con analysis of both potential decisions regarding whether or not to re-evaluate the client. In your pro/con analysis, present the potential ethical issues which might arise from each decision--the decision to re-evaluate and the decision to not re-evaluate--the client in the given scenario. Assume you have the opportunity to conduct a behavioral assessment interview before making your decision about whether or not to conduct a full re-evaluation. Give examples of the types of information from the behavioral assessment would aid you in making an ethical decision about whether or not to conduct a full re-evaluation.
ABS 300 Week One Assessment Scenario Donna, age 14, had consistently been a B+/A- student throughout elementary school and the beginning of middle school. However, in the 8th grade, she started demonstrating difficulty understanding some of her work. Increased difficulties were noted when she was required to work with abstract concepts rather than rely on rote memorization. Donna had always been fascinated with flowers, and she could remember the details of hundreds of different species of wild and domestic flower she encountered. Donna’s classmates and cousins thought she was odd, and her mother said that Donna was frequently picked on—at times without even realizing she was being made fun of. Donna was described as a confused and socially awkward girl who tended to keep to herself. The incident that led to her first psychological evaluation occurred after one of her classmates teased her repeatedly over several days to the point of making Donna upset. Donna decided to write a threatening note to the student as a warning for him to stop. The note included details of which species of flowers would be found growing on top of the place he would be buried. The boy’s parents brought the note to the principal and Donna was suspended from school and charged with terroristic threatening. The school ordered a psychological evaluation and risk assessment before they allowed her to return to school. Donna was observed to have awkward mannerisms, and she smiled at what appeared to be inappropriate times, for example, when s.
ABS 300 Week One Assessment Scenario Donna, age 14, had co.docxbartholomeocoombs
ABS 300 Week One Assessment Scenario
Donna, age 14, had consistently been a B+/A- student throughout elementary school and the
beginning of middle school. However, in the 8th grade, she started demonstrating difficulty
understanding some of her work. Increased difficulties were noted when she was required to
work with abstract concepts rather than rely on rote memorization. Donna had always been
fascinated with flowers, and she could remember the details of hundreds of different species of
wild and domestic flower she encountered.
Donna’s classmates and cousins thought she was odd, and her mother said that Donna was
frequently picked on—at times without even realizing she was being made fun of. Donna was
described as a confused and socially awkward girl who tended to keep to herself. The incident
that led to her first psychological evaluation occurred after one of her classmates teased her
repeatedly over several days to the point of making Donna upset. Donna decided to write a
threatening note to the student as a warning for him to stop. The note included details of which
species of flowers would be found growing on top of the place he would be buried. The boy’s
parents brought the note to the principal and Donna was suspended from school and charged
with terroristic threatening. The school ordered a psychological evaluation and risk assessment
before they allowed her to return to school.
Donna was observed to have awkward mannerisms, and she smiled at what appeared to be
inappropriate times, for example, when she was talking about the teasing at school. She made
very poor eye contact in ways that were atypical for her culture, and she had a difficult time
staying on topic, frequently shifting the topic of conversation onto her interest in flower.
Donna’s intelligence was found to be in the upper limits of the average range on the Wechsler
Intelligence Scale for Children, Fifth Edition (WISC-V). The Gilliam Asperger's Disorder Scale
as rated by Donna and her mother together was in the clinically significant range, with her
largest deficits being reflected in her social interactions scale. There were also deficits noted in
pragmatic skills, restricted patterns of behavior, and cognitive patterns. Problems were also noted
with reciprocal social interaction skills, communication skills, and stereotyped behaviors,
interests, and activities.
Donna's QEEG results showed multiple abnormalities. Her right parietal-temporal lobe showed
excessively slow activity. This is an area important for facial recognition and empathy. She also
had excessive mid-line frontal hi-beta, something that is often seen in those with mental rigidity
and obsessive thinking. Multiple problems in coherence were noted, reflecting cognitive
inefficiency in her mental processing. Excessive connectivity was noted in the frontal lobes areas
and there were excessive disconnections between her frontal lobes and the central and back parts
of.
MANDALA COLORING FOR CHILDREN WITH SYMPTOMS OF ATTENTION DEFICIT HYPERACTIVIT...indexPub
Attention Deficit Hyperactivity condition (ADHD) is the most common neuropsychiatric condition of childhood. Inattention, Hyperactivity, and impulsivity are the 3 major signs of ADHD. Various therapies and techniques are well-established for children with ADHD disorder. However, there is a sizable subset of some signs of ADHD in children that do not fulfill the diagnostic standards. To adjacent this gap, psychologists have adopted various forms of art therapy to attain good results. Mandala coloring is a relatively new art-based intervention that can be used on children at risk of ADHD. However, literature is lacking on the usefulness of mandala coloring intervention on such at-risk children. Here we present a series of three children with ADHD symptoms in whom mandala coloring intervention was used. There were significant improvements in executive functioning after 30 sessions, indicating enhanced cognitive skills. There was also a moderate improvement in emotional and motivational self-regulation. At follow- up, parents reported improvement in academic performance and were able to concentrate on one activity for a longer duration. Keywords: Art Therapy, Mandala Coloring, ADHD Symptoms, Executive Functioning, Attention Span.
Assgn 2 – WK10 (C)
Practicum: Decision Tree
Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.
The Assignment:
Examine
Case 3.
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
(N: B. A CASE STUDY WITH ANSWER SAMPLE IS ATTACHED WITH THIS ASSIGNMENT)
At each Decision Point, stop to complete the following:
· Decision #1: Differential Diagnosis
o
Which Decision did you select?
o
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o
What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o
Explain any difference between what you expected to achieve with Decision #1
and the results of the Decision. Why were they different?
·
Decision #2: Treatment Plan for Psychotherapy
o
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o
What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o
Explain any difference between what you expected to achieve with Decision #2
and the results of the Decision. Why were they different?
· Decision #3: Treatment Plan for Psychopharmacology
o
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o
What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o
Explain any difference between what you expected to achieve with Decision #3
and the results of the decision. Why were they different?
.
Also include how ethical considerations might impact your treatment plan and
communication with clients and their families.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Case #3
A young girl with strange behaviors
BACKGROUND
Carrie is a 13-year-old Hispanic female who is brought to your office today by her mother and father. They report that they were referred to you by their primary care provider after seeking her advice because Carrie’s behavior has been difficult to manage, and they don’t know ...
Assignment Assessing and Treating Patients With ADHDNot onl.docxsalmonpybus
Assignment: Assessing and Treating Patients With ADHD
Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD.
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD.
The Assignment: 5 pages
Examine
Case Study: A Young Caucasian Girl with ADHD.
You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and referenc.
Final Test and AssessmentNameUniversityDat.docxAKHIL969626
Final Test and Assessment
Name
University
Date
Running Head: FINAL TEST AND ASSESSMENT 1
FINAL TEST AND ASSESSMENT 6
Client: Barbara B.
Date of birth: 2/20/1993
Evaluated by:
Case No.: 1234
Date of Evaluation: 3/25/15
Date of Report: 2/25/18
PURPOSE FOR EVALUATION:
Barbara is a 22-year-old recent college graduate. She is currently employed as an entry-level account representative in a large advertising agency, a job she recently started about three months ago in a large city in the Northeast. She made a self-referral for assessment, reporting that she has been feeling tired and lacking in energy for about four weeks. Barbara reported that two months ago she started missing college life and friends and was also feeling a dislike for her job. She further reported a loss of interest in socializing, making new friends, performing daily routines such as exercising and trouble with concentration. Barbara also found herself questioning her vocational choice and finds she has difficulty keeping her mind on her work. Barbara recognizes that this is not normal and realized the need to refer herself for professional help. A psychological assessment was requested to gain more information about her present functioning and to aid in a diagnosis and treatment plan for Barbara.
BEHAVIORAL OBSERVATIONS
Barbara arrived for her appointment on time and was open in discussing her history and present concerns. She did note that she had overslept and rushed to keep the appointment, so she had not eaten that morning. She completed the assessments in a thoughtful manner, occasionally asking clarifying questions. She had some difficulty in responding to the projective tests, stating she was worried she would give incorrect answers.
ASSESSMENT PROCEDURES
Weschler Adult Intelligence Scale - Fourth Edition
Clinical Assessment of Depression (CAD)
Myers-Briggs Type Indicator® Personal Impact Report
Sentence Completion Test
House Tree Person Test
Holland Code Career Test
INFORMATION ASSESSMENT TECHNIQUES
Development History Form
Interviews
Primary Sources Inventory
Review of medical reports
BACKGROUND INFORMATION
Family/Social:
Barbara reports no family history of emotional, behavioral, educational, substance or medical difficulties.
Education History:
Barbara finished elementary and high school with no reported issues and grades consisted of A’s and B’s. Barbara completed college and received her BA and reported grades of A’s and B’s. There was no history of learning or behavioral problems in school.
Medical History:
Barbara reports normal birth with no prematurity. No difficulties reported in birth. No reported use of alcohol or drugs while in utero. All developmental milestones were reached as normal. Barbara reports no history of injury or illness.
Current medical concerns Barbara reports are fatigue, sleep problems and low energy.
Psychiatric History:
Barbara reports ...
Ethical and Professional Issues in Psychological AssessmentPrior t.docxAlleneMcclendon878
Ethical and Professional Issues in Psychological Assessment
Prior to beginning work on this assignment, read the required textbook chapters and articles for this week and view the American Psychological Association behavioral assessment video. For this discussion, you will take on the role of the private psychologist being asked to re-evaluate a client. Carefully review the
ABS 300 Week One Assessment Scenario
.
In your initial post, write a rationale for either agreeing or disagreeing with the request to re-evaluate the client based on the information available. Explain which theoretical assumptions about psychological testing and assessment support your decision. Discuss the ethical responsibilities a psychologist must consider if choosing to use psychological assessment tools to re-evaluate the client. Provide a pro/con analysis of both potential decisions regarding whether or not to re-evaluate the client. In your pro/con analysis, present the potential ethical issues which might arise from each decision--the decision to re-evaluate and the decision to not re-evaluate--the client in the given scenario. Assume you have the opportunity to conduct a behavioral assessment interview before making your decision about whether or not to conduct a full re-evaluation. Give examples of the types of information from the behavioral assessment would aid you in making an ethical decision about whether or not to conduct a full re-evaluation.
ABS 300 Week One Assessment Scenario Donna, age 14, had consistently been a B+/A- student throughout elementary school and the beginning of middle school. However, in the 8th grade, she started demonstrating difficulty understanding some of her work. Increased difficulties were noted when she was required to work with abstract concepts rather than rely on rote memorization. Donna had always been fascinated with flowers, and she could remember the details of hundreds of different species of wild and domestic flower she encountered. Donna’s classmates and cousins thought she was odd, and her mother said that Donna was frequently picked on—at times without even realizing she was being made fun of. Donna was described as a confused and socially awkward girl who tended to keep to herself. The incident that led to her first psychological evaluation occurred after one of her classmates teased her repeatedly over several days to the point of making Donna upset. Donna decided to write a threatening note to the student as a warning for him to stop. The note included details of which species of flowers would be found growing on top of the place he would be buried. The boy’s parents brought the note to the principal and Donna was suspended from school and charged with terroristic threatening. The school ordered a psychological evaluation and risk assessment before they allowed her to return to school. Donna was observed to have awkward mannerisms, and she smiled at what appeared to be inappropriate times, for example, when s.
ABS 300 Week One Assessment Scenario Donna, age 14, had co.docxbartholomeocoombs
ABS 300 Week One Assessment Scenario
Donna, age 14, had consistently been a B+/A- student throughout elementary school and the
beginning of middle school. However, in the 8th grade, she started demonstrating difficulty
understanding some of her work. Increased difficulties were noted when she was required to
work with abstract concepts rather than rely on rote memorization. Donna had always been
fascinated with flowers, and she could remember the details of hundreds of different species of
wild and domestic flower she encountered.
Donna’s classmates and cousins thought she was odd, and her mother said that Donna was
frequently picked on—at times without even realizing she was being made fun of. Donna was
described as a confused and socially awkward girl who tended to keep to herself. The incident
that led to her first psychological evaluation occurred after one of her classmates teased her
repeatedly over several days to the point of making Donna upset. Donna decided to write a
threatening note to the student as a warning for him to stop. The note included details of which
species of flowers would be found growing on top of the place he would be buried. The boy’s
parents brought the note to the principal and Donna was suspended from school and charged
with terroristic threatening. The school ordered a psychological evaluation and risk assessment
before they allowed her to return to school.
Donna was observed to have awkward mannerisms, and she smiled at what appeared to be
inappropriate times, for example, when she was talking about the teasing at school. She made
very poor eye contact in ways that were atypical for her culture, and she had a difficult time
staying on topic, frequently shifting the topic of conversation onto her interest in flower.
Donna’s intelligence was found to be in the upper limits of the average range on the Wechsler
Intelligence Scale for Children, Fifth Edition (WISC-V). The Gilliam Asperger's Disorder Scale
as rated by Donna and her mother together was in the clinically significant range, with her
largest deficits being reflected in her social interactions scale. There were also deficits noted in
pragmatic skills, restricted patterns of behavior, and cognitive patterns. Problems were also noted
with reciprocal social interaction skills, communication skills, and stereotyped behaviors,
interests, and activities.
Donna's QEEG results showed multiple abnormalities. Her right parietal-temporal lobe showed
excessively slow activity. This is an area important for facial recognition and empathy. She also
had excessive mid-line frontal hi-beta, something that is often seen in those with mental rigidity
and obsessive thinking. Multiple problems in coherence were noted, reflecting cognitive
inefficiency in her mental processing. Excessive connectivity was noted in the frontal lobes areas
and there were excessive disconnections between her frontal lobes and the central and back parts
of.
MANDALA COLORING FOR CHILDREN WITH SYMPTOMS OF ATTENTION DEFICIT HYPERACTIVIT...indexPub
Attention Deficit Hyperactivity condition (ADHD) is the most common neuropsychiatric condition of childhood. Inattention, Hyperactivity, and impulsivity are the 3 major signs of ADHD. Various therapies and techniques are well-established for children with ADHD disorder. However, there is a sizable subset of some signs of ADHD in children that do not fulfill the diagnostic standards. To adjacent this gap, psychologists have adopted various forms of art therapy to attain good results. Mandala coloring is a relatively new art-based intervention that can be used on children at risk of ADHD. However, literature is lacking on the usefulness of mandala coloring intervention on such at-risk children. Here we present a series of three children with ADHD symptoms in whom mandala coloring intervention was used. There were significant improvements in executive functioning after 30 sessions, indicating enhanced cognitive skills. There was also a moderate improvement in emotional and motivational self-regulation. At follow- up, parents reported improvement in academic performance and were able to concentrate on one activity for a longer duration. Keywords: Art Therapy, Mandala Coloring, ADHD Symptoms, Executive Functioning, Attention Span.
Assgn 2 – WK10 (C)
Practicum: Decision Tree
Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.
The Assignment:
Examine
Case 3.
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
(N: B. A CASE STUDY WITH ANSWER SAMPLE IS ATTACHED WITH THIS ASSIGNMENT)
At each Decision Point, stop to complete the following:
· Decision #1: Differential Diagnosis
o
Which Decision did you select?
o
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o
What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o
Explain any difference between what you expected to achieve with Decision #1
and the results of the Decision. Why were they different?
·
Decision #2: Treatment Plan for Psychotherapy
o
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o
What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o
Explain any difference between what you expected to achieve with Decision #2
and the results of the Decision. Why were they different?
· Decision #3: Treatment Plan for Psychopharmacology
o
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o
What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o
Explain any difference between what you expected to achieve with Decision #3
and the results of the decision. Why were they different?
.
Also include how ethical considerations might impact your treatment plan and
communication with clients and their families.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Case #3
A young girl with strange behaviors
BACKGROUND
Carrie is a 13-year-old Hispanic female who is brought to your office today by her mother and father. They report that they were referred to you by their primary care provider after seeking her advice because Carrie’s behavior has been difficult to manage, and they don’t know ...
Assignment Assessing and Treating Patients With ADHDNot onl.docxsalmonpybus
Assignment: Assessing and Treating Patients With ADHD
Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD.
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD.
The Assignment: 5 pages
Examine
Case Study: A Young Caucasian Girl with ADHD.
You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and referenc.
Final Test and AssessmentNameUniversityDat.docxAKHIL969626
Final Test and Assessment
Name
University
Date
Running Head: FINAL TEST AND ASSESSMENT 1
FINAL TEST AND ASSESSMENT 6
Client: Barbara B.
Date of birth: 2/20/1993
Evaluated by:
Case No.: 1234
Date of Evaluation: 3/25/15
Date of Report: 2/25/18
PURPOSE FOR EVALUATION:
Barbara is a 22-year-old recent college graduate. She is currently employed as an entry-level account representative in a large advertising agency, a job she recently started about three months ago in a large city in the Northeast. She made a self-referral for assessment, reporting that she has been feeling tired and lacking in energy for about four weeks. Barbara reported that two months ago she started missing college life and friends and was also feeling a dislike for her job. She further reported a loss of interest in socializing, making new friends, performing daily routines such as exercising and trouble with concentration. Barbara also found herself questioning her vocational choice and finds she has difficulty keeping her mind on her work. Barbara recognizes that this is not normal and realized the need to refer herself for professional help. A psychological assessment was requested to gain more information about her present functioning and to aid in a diagnosis and treatment plan for Barbara.
BEHAVIORAL OBSERVATIONS
Barbara arrived for her appointment on time and was open in discussing her history and present concerns. She did note that she had overslept and rushed to keep the appointment, so she had not eaten that morning. She completed the assessments in a thoughtful manner, occasionally asking clarifying questions. She had some difficulty in responding to the projective tests, stating she was worried she would give incorrect answers.
ASSESSMENT PROCEDURES
Weschler Adult Intelligence Scale - Fourth Edition
Clinical Assessment of Depression (CAD)
Myers-Briggs Type Indicator® Personal Impact Report
Sentence Completion Test
House Tree Person Test
Holland Code Career Test
INFORMATION ASSESSMENT TECHNIQUES
Development History Form
Interviews
Primary Sources Inventory
Review of medical reports
BACKGROUND INFORMATION
Family/Social:
Barbara reports no family history of emotional, behavioral, educational, substance or medical difficulties.
Education History:
Barbara finished elementary and high school with no reported issues and grades consisted of A’s and B’s. Barbara completed college and received her BA and reported grades of A’s and B’s. There was no history of learning or behavioral problems in school.
Medical History:
Barbara reports normal birth with no prematurity. No difficulties reported in birth. No reported use of alcohol or drugs while in utero. All developmental milestones were reached as normal. Barbara reports no history of injury or illness.
Current medical concerns Barbara reports are fatigue, sleep problems and low energy.
Psychiatric History:
Barbara reports ...
Diabetes affects a growing number of Americans. An Advanced practi.docxmecklenburgstrelitzh
Diabetes affects a growing number of Americans. An Advanced practice nurse working in a local hospital is part of a collaborative of community agencies strategically addressing diabetes from a community perspective.
1. What social determinants of health should the community look at in relation to risk or incidence of diabetes?
2. What resources could the APRN use to identify different outcomes related to diabetes?
3. What outcomes related to diabetes are of most interest to the community members?
4. Using the AHRQ’S Healthcare Quality and Disparities Report Data Query (nhqrnet.ahrq.gov/inhqrdr/data/submit), what related national and state level data are available to the APRN?
Respond with a minimum of two (2) paragraphs of 4-5 sentences each.
1. You should address each bullet point in the exercise you select.
2. Your work should have in-text citations integrating at a minimum one scholarly article from this week's readings and course textbook.
3. APA format should be utilized to include a reference list.
4. Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first person use.
5. Respond to a minimum of two (2) individuals, peer and/or faculty, with a scholarly and reflective post of a minimum of two (2) paragraphs of 4-5 sentences. A minimum of one (1) scholarly article should be utilized to support the post in addition to your textbook.
A Case Study • Jennie
Jennie is 8 years old, the eldest of four children. She lives at home with her mother and siblings in Section 8 housing in a small midwestem city. Her father has been an infrequent part of their lives due to repeated convictions for drug offenses.
Jennie was born prematurely after a difficult pregnancy. Her mother has had the support of a "Mentor Mom" since before Jennie was born. The Mentor Mom program was established in their area to assist young, inexperienced mothers who otherwise would have few supports in caring for their babies. The Mentor Mom's role is similar to that of grandmothers, mothers, and aunts in times when extended families were able to help new parents learn to parent their own children. The Mentor Mom has helped Jennie's mother with child-rearing information and problem-solving support over the years. Jennie frequently spends time with the Mentor Mom at her home in the country. Jennie's mother has been participating in adult basic education programs and counseling for several years, and she wants to make life for her children better than hers has been. Frequently she depends on the Mentor Mom when the demands of living with four young children overwhelm her.
In kindergarten Jennie was tested by her school system for possible identification as a child in need of special education services. This evaluation was prompted by her low skill performance levels and her history of prematurity, neurological problems, and environmental disadvantage. At 8 months of age, she developed a .
What is Attention-Deficit/Hyperactivity Disorder?
Inattentive, hyperactive & impulsive to excessive degree compared with their peers.
For more info, download the presentation.
Babatunde Idowu Ogundipe M.D. M.P.H.
Comprehensive Clinical Services P.C.
October 7 2011
Reply responses to 2 classmates, a minimum of 200 words in length eafelipaser7p
Reply responses to 2 classmates, a minimum of 200 words in length each, begin with the name of the student to whom you are responding and are otherwise fully compliant with assignment instructions. Weekly reply responses to classmates are accompanied by a weekly Initial post (no Forum points can be earned for posting reply posts only in the absence of that week’s required initial post).
Your responses to the postings of other students should be relevant and substantive. Reply posts containing just a few sentences or statements of agreement or disagreement only or that stray away from the topic or repeat what another classmate has already said in his or her posts does not demonstrate substantive discussion. Please be certain to post the name of the person you are responding to in each post you make. This is essential for tracking who said what to whom.
If you disagree with a point a classmate made, you must do so respectfully. For example, rather than saying, "I couldn't disagree more..." or “I think you are off here…” you might begin your differing perspective by saying, "In reading your point(s) an alternative came to mind …". The first two openers can foster defensiveness while the last one invites your classmate to consider a related but different perspective on his/her ideas.
No quoting:
No quoting of published information is permitted on the Forums. The purpose of the discussions is to share insights and learning based on engagement with assignment materials. I will grade your discussions based on your ability to demonstrate the meaning made of those materials and meeting assignment requirements, not the ability to piece together quotes of what published authors already wrote.
Classmate 1 Tunisia Manuel
Learning what feelings to desire
One take away is the socialization of emotion in young children. This is important because children learn to express and regulate their emotions in socially desirable and valued ways. Emotional signs are seen in infancy, but most children show significant signs by age 3. Children are able to develop their own understanding of their own emotions and recognize standar4ds and norms. Parents and other peers, as well as culture shape their children ideal affect. Parents may expose their children to specific practices, products, and institutions that reflect culturally valued affect. Children may also learn which affective states to value through exposure to storybooks that is why reading to children is important.
The second take away is study 1. Study 1 predicted that European American children preferred excited vs. calm smiles and exciting vs. calm activities more than Taiwanese Chinese children. European American children were also more likely to recognize the excited vs. calm smile as happier than were TC children. Asian American children who were exposed to both American and East Asian cultures, fell in between the two groups. These findings show that between group differences in i ...
BACKGROUNDKatie is an 8 year old Caucasian female who is.docxrosemaryralphs52525
BACKGROUND
Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition.
The parents give you a copy of a form titled
“Conner’s Teacher Rating Scale-Revised”.
This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work.
Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.
SUBJECTIVE
Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.”
Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time.
MENTAL STATUS EXAM
The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.
Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation
Examine
Case Study: A Young Caucasian Girl with ADHD.
You will be asked to make three .
Clinical Assessment of Children and Adolescents with DepressionCarlo Carandang
“Clinical Assessment of Children and Adolescents with Depression,”
Halifax, Nova Scotia, Canada; October 1, 2008
Pediatric Grand Rounds, IWK Health Centre
*Although the core symptoms of depression are similar across the life span, developmental differences exist and should be taken into account in the assessment
*With increasing age, there generally is an increase in melancholic symptoms, delusions, substance abuse, and suicidal ideation/attempts.
*In contrast, younger children tend to have more somatic sxs, separation anxiety, behavior problems, temper tantrums, and hallucinations
*Direct interviews with children and adolescents are critical because parents and teachers may not be aware of the youth’s depressive symptoms
*Discrepant information between parents and their children should be solve in a cordial and non judgmental way
*Assessment of suicidal and homicidal ideation and behaviors is mandatory
*The interview process and screening questions utilized by research interviews such as the Schedule for Affective Disorders and Schizophrenia for School Age Children, Present and Lifetime Version (KSADS-PL) can be useful
*Detection and diagnosis can be enhanced by available parent and child self-report measures
Respond in the following waysCompare the diagnosis you prov.docxcarlstromcurtis
Respond
in the following ways:
Compare the diagnosis you provided and the process in which you reached the diagnosis with those of your colleague.
Explain how the Z codes (other conditions that may be a focus of clinical attention) that your colleague identified may influence the client’s upcoming treatment.
Domineque
My four initial diagnosis are oppositional Defiance Disorder, Autism Spectrum Disorder, Attention Deficit Disorder and Intellectual Developmental Disorder. In order to diagnose and/or rule out, it is necessary to match the symptoms with the best fitting diagnosis.
In the case of ADHD, I am not able to complete this as a diagnosis as I can only fit 6 of the 8 hyperactivity criteria. ADHD is then ruled out. In the event of ODD, Pablo does not deliberately annoy others or start arguments with his peers. He actually interacts well with this peers and is reported to be quite sociable. He also likes to be touched and/or held by his caregivers/parents. ODD is ruled out and therefore will be exploring neurodevelopmental disorders, such as Intellectual Developmental disorder and Autism Spectrum.
Autism Spectrum disorder is characterized by ongoing deficits in social communication and social interactions. This does not apply to the case of Pablo as he is the opposite and is very interactive with his peers. Also, Pablo does not have a language and/or intellectual impairment. As for the consideration of Intellectual Developmental disorder, this can impact not only the intellectual piece but the adaptives (the ability to complete routine tasks as developmentally appropriate without cues) of an individual. In Pablo’s case, there are reports about his behaviors being “immature” and demonstrating difficulty in following routines and remembering instructions as given. This also reflects at school when he is not able to be still, follow instructions and/or complete the provided task at hand. Furthermore, there is to take in account for his age, he does not know certain information such his address or home phone number, and could not print his surname.
I would give a primary diagnosis of Intellectual Developmental Disorder, mild and looks as follows:
F70 Intellectual Disability, Mild
F90.9 Other Specified Attention-Deficit/Hyperactivity Disorder, with insufficient inattention, and hyperactivity symptoms (he is still demonstrating hyperactivity in two settings, school & home)
Z55.9 Academic or educational problem
Z65.8 Other problem related to psychosocial circumstances
Z72.821 Inadequate sleep hygiene
Z81.8 Family history of other mental and behavioral disorders (grandmother was diagnosed with depression)
Torri
DSM-5 Full diagnosis of Pablo.
Morrison (2014) discusses the Roadmap for Diagnosis as building blocks of data. Informants is initial information gathered according to Morrison (2014) shedding light on possible presenting illness. Parents and teachers present Pablo’s problem characterized as; restlessness, remi ...
CONFIDENTIAL PSY640 Week Four Psychological Assessment ReAlleneMcclendon878
CONFIDENTIAL
PSY640 Week Four Psychological Assessment Report
Patient's Name: Ms. S. Date of Evaluation: 10/01/2020
Date of Birth: 01/01/1991 Age: 29 years
Education: 12 years Occupation: Student
Current Medications: None Handedness: Right
Evaluation Completed by: Dr. K., Licensed Psychologist
Evaluation Time: 1 hour diagnostic interview (90791); 7 hours test administration, scoring,
interpretation, and report (96118 x 7)
REASON FOR REFERRAL: Ms. S. was referred by Dr. R.N. for concerns about attentional functioning.
HISTORY OF CURRENT SYMPTOMS: The symptom description and history were obtained from an
interview with Ms. S. and a review of her available medical records.
Ms. S. reported a longstanding history of anxiety and depression since high school but stated her
symptoms have worsened over the past year; she eventually sought treatment. She reported her anxiety
continues to be moderate but is slightly improved, and her depression symptoms have improved
significantly with medication. However, she stated she has also experienced problems in attention and
concentration in the past several years, and these have not improved despite the noted improvements in
her mood symptoms. She reported being referred for a psychiatric evaluation while in the U.S. Army due
to her reports to her supervisor that she was experiencing symptoms of acute stress after hearing a
gunshot that led to her discovering one of her platoon mates had committed suicide.
Summary of Previous Investigations and Findings: No previous neurological or neuropsychological
evaluations.
PAST MEDICAL, NEUROLOGICAL, PSYCHIATRIC, SUBSTANCE USE HISTORY: (Inclusive review of
symptoms and disorders; only positive features listed) Medical history is significant for reconstructive
surgery for a bile duct cyst in 2014 (involving multiple surgeries), activity induced asthma, and irregular
menstruation (currently treated with medication). Previous psychiatric history is reported above. Ms. S.
stated she does not drink alcohol and has never used tobacco or recreational drugs. Ms. S. stated that
she gained over 200 pounds after her discharge from the Army and has attempted to obtain a referral
from her physician for bariatric surgery; however, reportedly, her physician has not been willing to
recommend her.
BIRTH, DEVELOPMENTAL, OCCUPATIONAL HISTORY: (Review of perinatal factors, early childhood
development and milestones, academic history and achievement, employment). Ms. S. denied any
problems with her birth or development. She stated math skills were always a relative weakness for her in
school, but she was never diagnosed with a learning disability or attention deficit hyperactivity disorde ...
Case Study Clinical LeadersDavid Rochester enjoys his role as a C.docxPazSilviapm
Case Study: Clinical Leaders
David Rochester enjoys his role as a Clinical Leader in a palliative care setting. On a typical day David troubleshoots problems as they arise. His job responsibilities include resolving personnel issues, integrating changes in policies, and communicating patient care protocols to the nursing staff. He displays competence and confidence in trouble-shooting issues and follow-up is his specialty. During the past month, David has noticed an increase in the number of problems on the unit. He is uncertain of the origin of all of the problems. This morning, David received an email communication from the Director of Palliative Care Services, detailing several changes in clinical practices. David is certain that the timing of these changes will create more daily problems.
Respond to the following questions:
What are the characteristics of leadership does David exhibit? What are the characteristics that David must embrace to be an effective leader of a clinical microsystem?
Changing leadership styles requires deliberate steps. What key steps does David need to take to assure his success as he moves forward?
** At least
4 pages long - includes title page and references
, at least
4 SCHOLARLY REFERENCES, APA format, 12 pt font times new roman - 1" margins
**
see grading rubric attachment
.
CASE STUDY Clinical Journal Entry 1 to 2 pages A 21 month .docxPazSilviapm
CASE STUDY: Clinical Journal Entry: 1 to 2 pages
A 21 month old Caucasian baby girl was brought to clinic by her mother with complaint of her baby getting irritable, easy tired during the day and sleeps more than usual after small activities at the day care and now she just noticed her skin is pale especially around her hands and eyelids and her husband also confirmed that she did look pale. So they are here today for a checkup even though she notices no other developmental changes. Mother denies any s/s of GI bleed like tarry stool. She has been current with her immunization and has no other medical or surgical history.
Assessment
An active toddler, with recent fatigue, has increase in sleeping, mild exercise intolerance.. She is a picky eater, enjoys small chicken, pork, and some vegetables, but loves milk and drinks about seven bottles of whole milk daily.
Family history reveals mother had anemia during her pregnancy. There is no history of splenectomy, gall stones at an early age, or other anemia in the family.
Physical Examination:
Vital Signs: Temperature 37.8 degrees C, Blood Pressure 95/50 mmHg, Pulse 144 beats/minute, Respiration 18 breaths/minute , Height 85.5 cm (50th %ile), Weight 13.2 kg (75th %ile). General appearance: He is a pale appearing, active toddler.
Reflect on the patient provided who presented with a hematologic disorder during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family and follow up apt . Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting.
Readings( Provide 2 more Credible , recent references)
•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.
Chapter 26, “Hematologic Disorders” (pp. 557–584
.
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Respond with a minimum of two (2) paragraphs of 4-5 sentences each.
1. You should address each bullet point in the exercise you select.
2. Your work should have in-text citations integrating at a minimum one scholarly article from this week's readings and course textbook.
3. APA format should be utilized to include a reference list.
4. Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first person use.
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A Case Study • Jennie
Jennie is 8 years old, the eldest of four children. She lives at home with her mother and siblings in Section 8 housing in a small midwestem city. Her father has been an infrequent part of their lives due to repeated convictions for drug offenses.
Jennie was born prematurely after a difficult pregnancy. Her mother has had the support of a "Mentor Mom" since before Jennie was born. The Mentor Mom program was established in their area to assist young, inexperienced mothers who otherwise would have few supports in caring for their babies. The Mentor Mom's role is similar to that of grandmothers, mothers, and aunts in times when extended families were able to help new parents learn to parent their own children. The Mentor Mom has helped Jennie's mother with child-rearing information and problem-solving support over the years. Jennie frequently spends time with the Mentor Mom at her home in the country. Jennie's mother has been participating in adult basic education programs and counseling for several years, and she wants to make life for her children better than hers has been. Frequently she depends on the Mentor Mom when the demands of living with four young children overwhelm her.
In kindergarten Jennie was tested by her school system for possible identification as a child in need of special education services. This evaluation was prompted by her low skill performance levels and her history of prematurity, neurological problems, and environmental disadvantage. At 8 months of age, she developed a .
What is Attention-Deficit/Hyperactivity Disorder?
Inattentive, hyperactive & impulsive to excessive degree compared with their peers.
For more info, download the presentation.
Babatunde Idowu Ogundipe M.D. M.P.H.
Comprehensive Clinical Services P.C.
October 7 2011
Reply responses to 2 classmates, a minimum of 200 words in length eafelipaser7p
Reply responses to 2 classmates, a minimum of 200 words in length each, begin with the name of the student to whom you are responding and are otherwise fully compliant with assignment instructions. Weekly reply responses to classmates are accompanied by a weekly Initial post (no Forum points can be earned for posting reply posts only in the absence of that week’s required initial post).
Your responses to the postings of other students should be relevant and substantive. Reply posts containing just a few sentences or statements of agreement or disagreement only or that stray away from the topic or repeat what another classmate has already said in his or her posts does not demonstrate substantive discussion. Please be certain to post the name of the person you are responding to in each post you make. This is essential for tracking who said what to whom.
If you disagree with a point a classmate made, you must do so respectfully. For example, rather than saying, "I couldn't disagree more..." or “I think you are off here…” you might begin your differing perspective by saying, "In reading your point(s) an alternative came to mind …". The first two openers can foster defensiveness while the last one invites your classmate to consider a related but different perspective on his/her ideas.
No quoting:
No quoting of published information is permitted on the Forums. The purpose of the discussions is to share insights and learning based on engagement with assignment materials. I will grade your discussions based on your ability to demonstrate the meaning made of those materials and meeting assignment requirements, not the ability to piece together quotes of what published authors already wrote.
Classmate 1 Tunisia Manuel
Learning what feelings to desire
One take away is the socialization of emotion in young children. This is important because children learn to express and regulate their emotions in socially desirable and valued ways. Emotional signs are seen in infancy, but most children show significant signs by age 3. Children are able to develop their own understanding of their own emotions and recognize standar4ds and norms. Parents and other peers, as well as culture shape their children ideal affect. Parents may expose their children to specific practices, products, and institutions that reflect culturally valued affect. Children may also learn which affective states to value through exposure to storybooks that is why reading to children is important.
The second take away is study 1. Study 1 predicted that European American children preferred excited vs. calm smiles and exciting vs. calm activities more than Taiwanese Chinese children. European American children were also more likely to recognize the excited vs. calm smile as happier than were TC children. Asian American children who were exposed to both American and East Asian cultures, fell in between the two groups. These findings show that between group differences in i ...
BACKGROUNDKatie is an 8 year old Caucasian female who is.docxrosemaryralphs52525
BACKGROUND
Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition.
The parents give you a copy of a form titled
“Conner’s Teacher Rating Scale-Revised”.
This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work.
Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.
SUBJECTIVE
Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.”
Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time.
MENTAL STATUS EXAM
The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.
Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation
Examine
Case Study: A Young Caucasian Girl with ADHD.
You will be asked to make three .
Clinical Assessment of Children and Adolescents with DepressionCarlo Carandang
“Clinical Assessment of Children and Adolescents with Depression,”
Halifax, Nova Scotia, Canada; October 1, 2008
Pediatric Grand Rounds, IWK Health Centre
*Although the core symptoms of depression are similar across the life span, developmental differences exist and should be taken into account in the assessment
*With increasing age, there generally is an increase in melancholic symptoms, delusions, substance abuse, and suicidal ideation/attempts.
*In contrast, younger children tend to have more somatic sxs, separation anxiety, behavior problems, temper tantrums, and hallucinations
*Direct interviews with children and adolescents are critical because parents and teachers may not be aware of the youth’s depressive symptoms
*Discrepant information between parents and their children should be solve in a cordial and non judgmental way
*Assessment of suicidal and homicidal ideation and behaviors is mandatory
*The interview process and screening questions utilized by research interviews such as the Schedule for Affective Disorders and Schizophrenia for School Age Children, Present and Lifetime Version (KSADS-PL) can be useful
*Detection and diagnosis can be enhanced by available parent and child self-report measures
Respond in the following waysCompare the diagnosis you prov.docxcarlstromcurtis
Respond
in the following ways:
Compare the diagnosis you provided and the process in which you reached the diagnosis with those of your colleague.
Explain how the Z codes (other conditions that may be a focus of clinical attention) that your colleague identified may influence the client’s upcoming treatment.
Domineque
My four initial diagnosis are oppositional Defiance Disorder, Autism Spectrum Disorder, Attention Deficit Disorder and Intellectual Developmental Disorder. In order to diagnose and/or rule out, it is necessary to match the symptoms with the best fitting diagnosis.
In the case of ADHD, I am not able to complete this as a diagnosis as I can only fit 6 of the 8 hyperactivity criteria. ADHD is then ruled out. In the event of ODD, Pablo does not deliberately annoy others or start arguments with his peers. He actually interacts well with this peers and is reported to be quite sociable. He also likes to be touched and/or held by his caregivers/parents. ODD is ruled out and therefore will be exploring neurodevelopmental disorders, such as Intellectual Developmental disorder and Autism Spectrum.
Autism Spectrum disorder is characterized by ongoing deficits in social communication and social interactions. This does not apply to the case of Pablo as he is the opposite and is very interactive with his peers. Also, Pablo does not have a language and/or intellectual impairment. As for the consideration of Intellectual Developmental disorder, this can impact not only the intellectual piece but the adaptives (the ability to complete routine tasks as developmentally appropriate without cues) of an individual. In Pablo’s case, there are reports about his behaviors being “immature” and demonstrating difficulty in following routines and remembering instructions as given. This also reflects at school when he is not able to be still, follow instructions and/or complete the provided task at hand. Furthermore, there is to take in account for his age, he does not know certain information such his address or home phone number, and could not print his surname.
I would give a primary diagnosis of Intellectual Developmental Disorder, mild and looks as follows:
F70 Intellectual Disability, Mild
F90.9 Other Specified Attention-Deficit/Hyperactivity Disorder, with insufficient inattention, and hyperactivity symptoms (he is still demonstrating hyperactivity in two settings, school & home)
Z55.9 Academic or educational problem
Z65.8 Other problem related to psychosocial circumstances
Z72.821 Inadequate sleep hygiene
Z81.8 Family history of other mental and behavioral disorders (grandmother was diagnosed with depression)
Torri
DSM-5 Full diagnosis of Pablo.
Morrison (2014) discusses the Roadmap for Diagnosis as building blocks of data. Informants is initial information gathered according to Morrison (2014) shedding light on possible presenting illness. Parents and teachers present Pablo’s problem characterized as; restlessness, remi ...
CONFIDENTIAL PSY640 Week Four Psychological Assessment ReAlleneMcclendon878
CONFIDENTIAL
PSY640 Week Four Psychological Assessment Report
Patient's Name: Ms. S. Date of Evaluation: 10/01/2020
Date of Birth: 01/01/1991 Age: 29 years
Education: 12 years Occupation: Student
Current Medications: None Handedness: Right
Evaluation Completed by: Dr. K., Licensed Psychologist
Evaluation Time: 1 hour diagnostic interview (90791); 7 hours test administration, scoring,
interpretation, and report (96118 x 7)
REASON FOR REFERRAL: Ms. S. was referred by Dr. R.N. for concerns about attentional functioning.
HISTORY OF CURRENT SYMPTOMS: The symptom description and history were obtained from an
interview with Ms. S. and a review of her available medical records.
Ms. S. reported a longstanding history of anxiety and depression since high school but stated her
symptoms have worsened over the past year; she eventually sought treatment. She reported her anxiety
continues to be moderate but is slightly improved, and her depression symptoms have improved
significantly with medication. However, she stated she has also experienced problems in attention and
concentration in the past several years, and these have not improved despite the noted improvements in
her mood symptoms. She reported being referred for a psychiatric evaluation while in the U.S. Army due
to her reports to her supervisor that she was experiencing symptoms of acute stress after hearing a
gunshot that led to her discovering one of her platoon mates had committed suicide.
Summary of Previous Investigations and Findings: No previous neurological or neuropsychological
evaluations.
PAST MEDICAL, NEUROLOGICAL, PSYCHIATRIC, SUBSTANCE USE HISTORY: (Inclusive review of
symptoms and disorders; only positive features listed) Medical history is significant for reconstructive
surgery for a bile duct cyst in 2014 (involving multiple surgeries), activity induced asthma, and irregular
menstruation (currently treated with medication). Previous psychiatric history is reported above. Ms. S.
stated she does not drink alcohol and has never used tobacco or recreational drugs. Ms. S. stated that
she gained over 200 pounds after her discharge from the Army and has attempted to obtain a referral
from her physician for bariatric surgery; however, reportedly, her physician has not been willing to
recommend her.
BIRTH, DEVELOPMENTAL, OCCUPATIONAL HISTORY: (Review of perinatal factors, early childhood
development and milestones, academic history and achievement, employment). Ms. S. denied any
problems with her birth or development. She stated math skills were always a relative weakness for her in
school, but she was never diagnosed with a learning disability or attention deficit hyperactivity disorde ...
Case Study Clinical LeadersDavid Rochester enjoys his role as a C.docxPazSilviapm
Case Study: Clinical Leaders
David Rochester enjoys his role as a Clinical Leader in a palliative care setting. On a typical day David troubleshoots problems as they arise. His job responsibilities include resolving personnel issues, integrating changes in policies, and communicating patient care protocols to the nursing staff. He displays competence and confidence in trouble-shooting issues and follow-up is his specialty. During the past month, David has noticed an increase in the number of problems on the unit. He is uncertain of the origin of all of the problems. This morning, David received an email communication from the Director of Palliative Care Services, detailing several changes in clinical practices. David is certain that the timing of these changes will create more daily problems.
Respond to the following questions:
What are the characteristics of leadership does David exhibit? What are the characteristics that David must embrace to be an effective leader of a clinical microsystem?
Changing leadership styles requires deliberate steps. What key steps does David need to take to assure his success as he moves forward?
** At least
4 pages long - includes title page and references
, at least
4 SCHOLARLY REFERENCES, APA format, 12 pt font times new roman - 1" margins
**
see grading rubric attachment
.
CASE STUDY Clinical Journal Entry 1 to 2 pages A 21 month .docxPazSilviapm
CASE STUDY: Clinical Journal Entry: 1 to 2 pages
A 21 month old Caucasian baby girl was brought to clinic by her mother with complaint of her baby getting irritable, easy tired during the day and sleeps more than usual after small activities at the day care and now she just noticed her skin is pale especially around her hands and eyelids and her husband also confirmed that she did look pale. So they are here today for a checkup even though she notices no other developmental changes. Mother denies any s/s of GI bleed like tarry stool. She has been current with her immunization and has no other medical or surgical history.
Assessment
An active toddler, with recent fatigue, has increase in sleeping, mild exercise intolerance.. She is a picky eater, enjoys small chicken, pork, and some vegetables, but loves milk and drinks about seven bottles of whole milk daily.
Family history reveals mother had anemia during her pregnancy. There is no history of splenectomy, gall stones at an early age, or other anemia in the family.
Physical Examination:
Vital Signs: Temperature 37.8 degrees C, Blood Pressure 95/50 mmHg, Pulse 144 beats/minute, Respiration 18 breaths/minute , Height 85.5 cm (50th %ile), Weight 13.2 kg (75th %ile). General appearance: He is a pale appearing, active toddler.
Reflect on the patient provided who presented with a hematologic disorder during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family and follow up apt . Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting.
Readings( Provide 2 more Credible , recent references)
•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.
Chapter 26, “Hematologic Disorders” (pp. 557–584
.
CASE STUDY 5Exploring Innovation in Action The Dimming of the Lig.docxPazSilviapm
CASE STUDY 5
Exploring Innovation in Action: The Dimming of the Light Bulb
In the beginning….
God said let there be light. And for a long time this came from a rather primitive but surprisingly effective method – the oil lamp. From the early days of putting simple wicks into congealed animal fats, through candles to more sophisticated oil lamps, people have been using this form of illumination. Archaeologists tell us this goes back at least 40,000 years so there has been plenty of scope for innovation to improve the basic idea! Certainly by the time of the Romans, domestic illumination – albeit with candles – was a well-developed feature of civilised society.
Not a lot changed until the late eighteenth century when the expansion of the mining industry led to experiments with uses for coal gas – one of which was as an alternative source of illumination. One of the pioneers of research in the coal industry – Humphrey Davy – invented the carbon arc lamp and ushered in a new era of safety within the mines, but also opened the door to alternative forms of domestic illumination and the era of gas lighting began.
But it was not until the middle of the following century that researchers began to explore the possibilities of using a new power source and some new physical effects. Experiments by Joseph Swann in England and Moses Farmer in the USA (amongst others) led to the development of a device in which a tiny metal filament enclosed within a glass envelope was heated to incandescence by an electric current. This was the first electric light bulb – and it still bears more than a passing resemblance to the product found hanging from millions of ceilings all around the world.
By 1879 it became clear that there was significant commercial potential in such lighting – not just for domestic use. Two events occurred during that year which were to have far-reaching effects on the emergence of a new industry. The first was that the city of Cleveland – although using a different lamp technology (carbon arc) – introduced the first public street lighting. And the second was that patents were registered for the incandescent filament light bulb by Joseph Swann in England and one Thomas Edison in the USA.
Needless to say the firms involved in gas supply and distribution and the gas lighting industry were not taking the threat from electric light lying down and they responded with a series of improvement innovations which helped retain gas lighting’s popularity for much of the late nineteenth century. Much of what happened over the next 30 years is a good example of what is sometimes called the ‘sailing ship effect’. That is, just as in the shipping world the invention of steam power did not instantly lead to the disappearance of sailing ships but instead triggered a whole series of improvement in that industry, so the gas lighting industry consolidated its position through incremental product and process innovations.
But electric lighting was also improving and th.
Case Study 2A 40 year-old female presents to the office with the c.docxPazSilviapm
Case Study 2
A 40 year-old female presents to the office with the chief complaint of diarrhea. She has been having
recurrent episodes of abdominal pain, diarrhea, and rectal bleeding
.
She has lost 9 pounds
in the last month. She takes no medications, but is allergic to penicillin. She describes her life as
stressful,
but manageable. The physical exam reveals
a pale middle- aged
female in no acute distress. Her weight is 140 pounds (down from 154 at her last visit over a year ago), blood pressure of
94/60 sitting and 86/50
(orthostatic positive). standing, heart rate of 96 and regular without postural changes, respiratory rate of 18, and O2 saturation 99%. Further physical examination reveals:
Skin: w/d, no acute lesions or rashes
Eyes: sclera clear,
conj pale
Ears: no acute changes
Nose: no erythema or sinus tenderness
Mouth:
membranes pale,
some slight painful ulcerations
, right buccal mucosa,
tongue beefy red,
teeth good repair ( signs and symptoms of
Vitamin B12 deficiency
anemia)
Neck: supple, no thyroid enlargement or tenderness, no lymphadenopathy
Cardio: S1 S2 regular, no S3 S4 or murmur
Lungs: CTA w/o rales, wheezes, or rhonchi
Abdomen: scaphoid,
BS hyperactive
(due to diarrhea),
generalized tenderness
,
rectal +occult
blood
Post
APA format
1.
an explanation of the differential diagnosis (
Crohn disease
)
for the patient in the case study that you selected.
2.
Describe the role the patient history and physical exam (information from above) played in the diagnosis (of
Crohn disease
)
3.
Then, suggest potential treatment options based on your patient diagnosis (
Crohn disease
).
important information highlighted above
.
Case Study Horizon Horizon Consulting Patti Smith looked up at .docxPazSilviapm
Case Study
Horizon
Horizon Consulting Patti Smith looked up at the bright blue Carolina sky before she entered the offices of Horizon Consulting. Today was Friday, which meant she needed to prepare for the weekly status report meeting. Horizon Consulting is a custom software development company that offers fully integrated mobile application services for iPhone ™ , Android ™ , Windows Mobile ® and BlackBerry ® platforms. Horizon was founded by James Thrasher, a former Marketing executive, who quickly saw the potential for digital marketing via smartphones. Horizon enjoyed initial success in sports marketing, but quickly expanded to other industries. A key to their success was the decline in cost for developing smartphone applications which expanded the client base. The decline in cost was primarily due to learning curve and ability to build customized solutions on established platforms. Patti Smith was a late bloomer who went back to college after working in the restaurant business for nine years. She and her former husband had tried unsuc-cessfully to operate a vegetarian restaurant in Golden, Colorado. After her di-vorce, she returned to University of Colorado where she majored in Management Information Systems with a minor in Marketing. While she enjoyed her marketing classes much more than her MIS classes, she felt the IT know- how acquired would give her an advantage in the job market. This turned out to be true as Horizon hired her to be an Account Manager soon after graduation. Patti Smith was hired to replace Stephen Stills who had started the restaurant side of the business at Horizon. Stephen was “ let go” according to one Account Manager for being a prima donna and hoarding resources. Patti’s clients ranged from high- end restaurants to hole in wall Mom and Pop shops. She helped de-velop smartphone apps that let users make reservations, browse menus, receive alerts on daily specials, provide customer feedback, order take- out and in some cases order delivery. As an Account Manager she worked with clients to assess their needs, develop a plan, and create customized smartphone apps. Horizon appeared to be a good fit for Patti. She had enough technical training to be able to work with software engineers and help guide them to produce client-ready products. At the same time she could relate to the restaurateurs and enjoyed working with them on web design and digital marketing. Horizon was organized into three departments: Sales, Software Development, and Graphics, with Account Managers acting as project managers. Account Managers generally came from Sales, and would divide their time between proj-ects and making sales pitches to potential new clients. Horizon employed a core group of software engineers and designers, supplemented by contracted pro-grammers when needed. The first step in developing a smartphone application involved the Account Manager meeting with the client to define the requirements and vision for the application. .
Case Study EvaluationBeing too heavy or too thin, having a disabil.docxPazSilviapm
Case Study Evaluation
Being too heavy or too thin, having a disability, being from a family with same-sex parents, having a speech impediment, being part of a low socioeconomic class—each of these is enough to marginalize (placing one outside of the margins of societal expectations) a child or adolescent. When children and adolescents are marginalized, they often experience consequences like lower self-esteem, performing poorly in school, or feeling depressed and anxious. In order for social workers to help facilitate positive change for their clients, they must be aware of the issues that can affect their healthy development. For this Discussion, review the case study Working With the Homeless Population: The Case of Diane and consider the issues within her environment that serve to place her outside of the margins of society.
Post by Day 3
a brief explanation of the issues that place Diane outside of the margins of society. Be sure to include an explanation about how these issues may have influenced her social development from infancy through adolescence. Also explain what you might have done differently had you been Diane’s social worker. Please use the Learning Resources to support your answer.
.
Case Study Disney Corporation1, What does Disney do best to connec.docxPazSilviapm
Case Study Disney Corporation
1, What does Disney do best to connect with its core customers?
2. What are the risks and benfits of expanding Disney brand in new ways?
must use APA format
Reference at least 3 Peer reviewed journals
textbook
Kotler P & Keller KL Marketing management
.
Case Study 3 Exemplar of Politics and Public Management Rightly Un.docxPazSilviapm
Case Study 3: Exemplar of Politics and Public Management Rightly Understood
Read Case Study 3 in the textbook and respond to the following questions:
What were the chief elements of John Gaus' administrative ecology that Robertson drew upon to run Los Angeles Bureau of Street Services?
Explain how these elements were critical to achieving his goals?
Were there any elements of Arnstein's ladder of participation in the discharge of street services function?
.
Case Study 2 Structure and Function of the Kidney Rivka is an ac.docxPazSilviapm
Case Study 2
Structure and Function of the Kidney
Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink.
In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?
.
Case Study 2 Plain View, Open Fields, Abandonment, and Border Searc.docxPazSilviapm
Case Study 2: Plain View, Open Fields, Abandonment, and Border Searches as They Relate to Search and Seizures
Due Week 6 and worth 100 points
Officer Jones asked the neighborhood’s regular trash collector to put the content of the defendant’s garbage that was left on the curb in plastic bags and to turn over the bags to him at the end of the day. The trash collector did as the officer asked in order to not mix the garbage once he collected the defendant’s garbage. The officer searched through the garbage and found items indicative of narcotics use. The officer then recited the information that was obtained from the trash in an affidavit in support of a warrant to search the defendant’s home. The officer encountered the defendant at the house later that day upon execution of the warrant. The officer found quantities of cocaine and marijuana during the search and arrested the defendant on felony narcotics charges.
Write a one to two (1-2) page paper in which you:
Identify the constitutional amendment that would govern Officer Jones’ actions.
Analyze the validity and constitutionality of officer’s Jones’ actions.
Discuss if Officer Jones’ actions were justified under the doctrines of plain view, abandonment, open fields, or border searches.
Use at least two (2) quality references.
Note:
Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Research and analyze procedures governing the process of arrest through trial.
Critically debate the Constitutional safeguards of key Amendments with specific attention to the 4th, 5th, 6th, and 14th Amendments.
Describe the difference between searchers, warrantless searches, and stops.
Write clearly and concisely about the criminal procedure using proper writing mechanics.
.
Case Study 2 Collaboration Systems at Isuzu Australia LimitedDue .docxPazSilviapm
Case Study 2: Collaboration Systems at Isuzu Australia Limited
Due Week 7 and worth 150 points
Read the case study in Chapter 12 titled “Collaboration Systems at Isuzu Australia Limited”.
Write a two to three (2-3) page paper in which you:
Summarize the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
Identify the platform that IAL chose as an online portal and content management system, and describe the main reason(s) why IAL chose such a specific platform.
Discuss the significant attributes of a wiki, and describe the overall manner in which IAL uses wikis for its internal collaboration.
Speculate on the main challenges that IAL could face when implementing groupware, and suggest one (1) step that IAL could take in order to mitigate the challenges in question.
Use at least three (3) quality reference.
Note:
Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
Points: 150
Case Study 2: Collaboration Systems at Isuzu Australia Limited
Criteria
Unacceptable
Below 60% F
Meets Minimum Expectations
60-69% D
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Summarize the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
Weight: 20%
Did not submit or incompletely summarized the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
Insufficiently summarized the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
Partially summarized the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
Satisfactorily summarized the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
Thoroughly summarized the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
2. Identify the platform that IAL chose as an online portal and content management system, and describe the main reason(s) why IAL chose such a specific platform.
Weight: 20%
Did not submit or incompletely identified the platform that IAL chose as an online portal and content management system; did not submit or incompletely described the main reason(s) why IAL chose such a specific platform.
Insufficiently identified the platform that IAL chose as an online portal and content management system; insufficiently described the main reason(s) why IAL chose such a specific platform.
Partiall.
Case FormatI. Write the Executive SummaryOne to two para.docxPazSilviapm
Case
Format
I.
Write the Executive Summary
One to two paragraphs in length
On cover page of the report
Briefly identify the major problems facing the manager/key person
Summarize the recommended plan of action and include a brief justification of the recommended plan
II. Statement of the Problem
State the problems facing the manager/key person
Identify and link the symptoms and root causes of the problems
Differentiate short term from long term problems
Conclude with the decision facing the manager/key person
III. Causes of the Problem
Provide a detailed analysis of the problems; identify in the Statement of the Problem
In the analysis, apply theories and models from the text and/or readings
Support conclusions and /or assumptions with specific references to the case and/or the readings
IV. Decision Criteria and Alternative
Solution
s
Identify criteria against which you evaluate alternative solutions (i.e. time for implementation, tangible costs, acceptability to management)
Include two or three possible alternative solutions
Evaluate the pros and cons of each alternative against the criteria listed
Suggest additional pros/cons if appropriate
V. Recommended
.
Case Study #2 Diabetes Hannah is a 10-year-old girl who has recentl.docxPazSilviapm
Case Study #2: Diabetes Hannah is a 10-year-old girl who has recently been diagnosed with Type 1 Diabetes Mellitus. She is a 4th grade student at Hendricks Elementary School. Prior to her diagnosis, Hannah was very involved in sports and played on the girls’ volleyball team. Her mother is concerned about how the diagnosis will affect Hannah.
Write a 2 page paper discussing the following points relating to the case study patient you selected:
● Include a definition of the actual disease or condition.
● The signs and symptoms of the disease.
● Identify the factors that could have caused or lead to the particular disease or condition (Pathogenesis).
● Describe body system changes as a result of the disease process.
● Discuss the economic impact of the chronic disease.
● Include a title and reference page (these do not count towards the 2 page requirement).
● The paper should be in APA format.
● At least two professional references (other than your text) must be included.
.
Case Study #2Alleged improper admission orders resulting in mor.docxPazSilviapm
Case Study #2:
Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts
presented testimony that
the nurse practitioner’s actions to be within the standard of care.
Defense experts
testimony was
that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
Plaintiffs did not pres.
Case Study 1Denise is a sixteen-year old 11th grade student wh.docxPazSilviapm
Case Study 1
Denise is a sixteen-year old 11th grade student who started using marijuana and drinking at fourteen and has used heroin regularly for the past six months. Denise stopped attending school in January and hangs out with her friends. She lives at home with her mother and younger brother, but comes and goes and often isn’t seen by her mother for four or five days at a stretch. When Denise was fifteen, her mother, with the assistance of a school-based addiction treatment counselor, was able to get her enrolled in outpatient treatment to address her alcohol and marijuana use. Denise participated in the program and reduced her alcohol and marijuana use. The outpatient program diagnosed Denise with depression and mild anxiety, and she was prescribed medication. Denise seemed to be regaining her health, and she started high school classes in the fall. However, her mother began to notice troubling patterns of more serious drug use in November and was unable to get Denise to resume treatment at her outpatient program.
Denise’s mother now wants to have her daughter assessed for enrollment in a residential treatment program. She is afraid of the people her daughter hangs out with and does not want her son to be influenced by his sister’s friends and drug use. Denise recently had a scare about her heroin use when one of her friends suffered an overdose and barely survived. She agreed to go for an assessment at a residential program. The program agreed that Denise needed residential treatment and received authorization from the Medicaid managed care organization to provide services for a short length of stay. After three days in treatment, during which she was treated with suboxone to help her withdrawal, Denise began to resist care. She has decided to leave the program against medical advice and her mother’s wishes.
Questions:
Does alcohol and drug use uniquely affect an adolescent’s ability to make decisions about medical care for addiction; and, if so, should clinical and legal standards take this factor into consideration?
What if Denise had been arrested for drug possession with intent to distribute, placed in the juvenile justice system, and required to attend residential treatment. How should clinical care decisions and concepts of autonomy be addressed in the legal framework for juvenile justice drug treatment?
.
Case AssignmentI. First read the following definitions of biodiver.docxPazSilviapm
Case Assignment
I. First read the following definitions of biodiversity:
In Jones and Stokes Associates' “Sliding Toward Extinction: The State of California's Natural Heritage,” 1987:
Natural diversity, as used in this report, is synonymous with
biological diversity
...To the scientist, natural diversity has a variety of meanings. These include:
The number of different native species and individuals in a habitat or geographical area;
The variety of different habitats within an area;
The variety of interactions that occur between different species in a habitat; and
The range of genetic variation among individuals within a species.
In D. B. Jensen, M. Torn, and J. Harte, “In Our Own Hands: A Strategy for Conserving Biological Diversity in California,” 1990:
Biological diversity, simply stated, is the
diversity of life
...As defined in the proposed U.S. Congressional Biodiversity Act, HR1268 (1990), “
biological diversity means the full range of variety and variability within and among living organisms and the ecological complexes in which they occur, and encompasses ecosystem or community diversity, species diversity, and genetic diversity
.”
Genetic diversity
is the combination of different genes found within a population of a single species, and the pattern of variation found within different populations of the same species. Coastal populations of Douglas fir are genetically different from Sierra populations. Genetic adaptations to local conditions such as the summer fog along the coast or hot summer days in the Sierra result in genetic differences between the two populations of the same species.
Species diversity
is the variety and abundance of different types of organisms which inhabit an area. A ten square mile area of Modoc County contains different species than does a similar sized area in San Bernardino County.
Ecosystem diversity
encompasses the variety of habitats that occur within a region, or the mosaic of patches found within a landscape. A familiar example is the variety of habitats and environmental parameters that constitute the San Francisco Bay-Delta ecosystem: grasslands, wetlands, rivers, estuaries, fresh and salt water.
.
Case and questions are In the attchmentExtra resources given.H.docxPazSilviapm
Case and questions are In the attchment
Extra resources given.
Helpful resources:
Gentile, M. C. (2010). Keeping your colleagues honest.
Harvard Business Review
,
88
(3), 114-117
Nash, L. (1981). Ethics without the sermon.
Harvard Business Review
.
59
(6), 78-79,
.
Case C Hot GiftsRose Stone moved into an urban ghetto in order .docxPazSilviapm
Case C: "Hot" Gifts
Rose Stone moved into an urban ghetto in order to study strategies for survival used by low-income residents. During the first six months of research, Stone was gradually integrated into the community through invitations (which she accepted) to attend dances, parties, church functions, and family outings, and by "hanging out" at local service facilities (laundromats, health centers, recreation centers, and so on). She was able to discern that there were two important survival tactics used by the community residents which she could not engage in: the first was a system of reciprocity in the exchange of goods and services (neither of which she felt she had to offer), and the second was outright theft of easily pawned or sold goods (clothing, jewelry, radios, TVs, and so on).
One night, a friend from the community stopped by "for a cup of coffee" and conversation. After they had been talking for about two hours, Stone's friend told her that she had some things she wanted to give her. The friend went out to her car and returned with a box of clothing (Stone's size) and a record player. Stone was a bit overwhelmed by the generosity of the gift and protested her right to accept such costly items. Her friend laughed and said, "Don't you worry, it's not out of my pocket," but then she became more serious and said, "Either you are one of us or you aren't one of us. You can't have it both ways. "
Stone's Dilemma: Suspecting that the items she was being offered were probably "hot" (e.g., stolen), she was afraid that if she wore the clothes in public, or had the record player in her apartment, she would be arrested for "accepting stolen goods." At the same time, she knew that "hot" items were often given to close friends when it was observed that they could use them. Still, this implied that there would be reciprocal giving (not necessarily in kind) at a later date. So, should she accept or refuse the proffered gifts?
.
Case Assignment must be 850 words and use current APA format with a .docxPazSilviapm
Case Assignment must be 850 words and use current APA format with a cover page, 1” margins, 12-point font, content, in-text citations, and a references page (the word count does not include the questions, cover page, or references page). No abstract is required; simply type the questions as a heading and respond. In addition, you must incorporate 4 scholarly research articles in your response.
Question 8 and 9 of the attached document
·
.
Case 7. Handling DisparateInformation for Evaluating TraineesRas.docxPazSilviapm
Case 7. Handling Disparate
Information for Evaluating Trainees
Rashid Vaji, Ph.D., a member of the school psychology faculty at a midsize university,
serves as a faculty supervisor for students assigned to externships in schools. The
department has formalized a supervision and evaluation system for the extern program.
Students have weekly individual meetings with the faculty supervisor and
biweekly meetings with the on-site supervisor. The on-site supervisor writes a midyear
(December) and end of academic year (May) evaluation of each student. The
site evaluations are sent to Dr. Vaji, and he provides feedback based on the site and
his own supervisory evaluation to each student. The final grade (fail, low pass, pass,
high pass) is the responsibility of Dr. Vaji.
Dr. Vaji also teaches the Spring Semester graduate class on “Health Disparities in
Mental Health.” One of the course requirements is for students to write weekly
thought papers, in which they are required to take the perspective of therapy clients
from different ethnic groups in reaction to specific session topics. Leo Watson, a
second-year graduate student is one of Dr. Vaji’s externship supervisees. He is also
enrolled in the Health Disparities course. Leo’s thought papers often present
ethnic-minority adolescents as prone to violence and unable to “grasp” the insights
offered by school psychologists. In a classroom role-playing exercise, Leo “plays” an
ethnic-minority student client as slumping in the chair not understanding the psychologist
and giving angry retorts. In written comments on these thought papers
and class feedback, Dr. Vaji encourages Leo to incorporate more of the readings on
racial/ethnic discrimination and multicultural competence into his papers and to
provide more complex perspectives on clients.
One day during his office hours, three students from the class come to Dr. Vaji’s
office to complain about Leo’s behavior outside the classroom. They describe incidents
in which Leo uses derogatory ethnic labels to describe his externship clients
and brags about “putting one over” on his site supervisors by describing these clients
in “glowing” terms just to satisfy his supervisors’ “stupid liberal do-good”
attitudes. They also report an incident at a local bar at which Leo was seen harassing
an African American waitress using racial slurs.
After the students have left his office, Dr. Vaji reviews his midyear evaluation and
supervision notes on Leo and the midyear on-site supervisor’s report. In his own
evaluation report Dr. Vaji had written, “Leo often articulates a strong sense of duty
to help his ethnic minority students overcome past discrimination but needs additional
growth and supervision in applying a multicultural perspective into his
clinical work.” The on-site supervisor’s evaluation states that
Leo has a wonderful attitude towards his student clients . . . Unfortunately
evaluation of his treatment skills is limited because Leo has had less cases to
discuss t.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
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.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Model Attribute Check Company Auto PropertyCeline George
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.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
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.
case scenario being used for this discussion postABS 300 Week One.docx
1. case scenario being used for this discussion post:
ABS 300 Week One Assessment Scenario Donna, age 14, had
consistently been a B+/A- student throughout elementary school
and the beginning of middle school. However, in the 8th grade,
she started demonstrating difficulty understanding some of her
work. Increased difficulties were noted when she was required
to work with abstract concepts rather than rely on rote
memorization. Donna had always been fascinated with flowers,
and she could remember the details of hundreds of different
species of wild and domestic flower she encountered. Donna’s
classmates and cousins thought she was odd, and her mother
said that Donna was frequently picked on—at times without
even realizing she was being made fun of. Donna was described
as a confused and socially awkward girl who tended to keep to
herself. The incident that led to her first psychological
evaluation occurred after one of her classmates teased her
repeatedly over several days to the point of making Donna
upset. Donna decided to write a threatening note to the student
as a warning for him to stop. The note included details of which
species of flowers would be found growing on top of the place
he would be buried. The boy’s parents brought the note to the
principal and Donna was suspended from school and charged
with terroristic threatening. The school ordered a psychological
evaluation and risk assessment before they allowed her to return
to school. Donna was observed to have awkward mannerisms,
and she smiled at what appeared to be inappropriate times, for
example, when she was talking about the teasing at school. She
made very poor eye contact in ways that were atypical for her
culture, and she had a difficult time staying on topic, frequently
shifting the topic of conversation onto her interest in flower.
Donna’s intelligence was found to be in the upper limits of the
average range on the Wechsler Intelligence Scale for Children,
Fifth Edition (WISC-V). The Gilliam Asperger's Disorder Scale
as rated by Donna and her mother together was in the clinically
significant range, with her largest deficits being reflected in her
2. social interactions scale. There were also deficits noted in
pragmatic skills, restricted patterns of behavior, and cognitive
patterns. Problems were also noted with reciprocal social
interaction skills, communication skills, and stereotyped
behaviors, interests, and activities. Donna's QEEG results
showed multiple abnormalities. Her right parietal-temporal lobe
showed excessively slow activity. This is an area important for
facial recognition and empathy. She also had excessive mid-line
frontal hi-beta, something that is often seen in those with
mental rigidity and obsessive thinking. Multiple problems in
coherence were noted, reflecting cognitive inefficiency in her
mental processing. Excessive connectivity was noted in the
frontal lobes areas and there were excessive disconnections
between her frontal lobes and the central and back parts of her
brain. Donna was diagnosed with Asperger's Disorder in
accordance with the DSM-IV criteria and referred for academic
and social skill instruction. Approximately, two years later,
Donna, age 16, and her parents met with the school’s child
study team to review a revised Individualized Education
Program (IEP). Although Donna’s academic achievement was
approximately one grade level behind her current 11th grade
placement, she had made significant academic and social gains
over the past two years. Ms. Kraut, Donna’s mother, noted a
change in her daughter’s diagnosis from Asperger's Disorder to
Autism Spectrum Disorder, Level 1—Requiring support,
Without accompanying intellectual impairment, Without
accompanying language impairment. The school psychologist
explained that the change in diagnoses was due to changes in
the manual used to assign psychiatric diagnoses (the Diagnostic
and Statistical Manual for Mental Disorders, Fifth Edition,
DSM-5). Ms. Kraut insisted that her daughter was not autistic
and demanded a re-evaluation. The psychologist stated that
there was no data supporting a re-evaluation at this time. Ms.
Kraut left the meeting, declaring that she would pay for a
second opinion herself. When Mr. Kraut met with the private
psychologist she stated that her daughter needed “a more
3. appropriate diagnosis.” The private psychologist reviewed the
previous records and explained the change to the DSM-5 and the
professional directive that individuals with a well-established
DSM-IV diagnosis of Asperger’s disorder should be given the
diagnosis of autism spectrum disorder. Ms. Kraut responded, “I
do not care! My daughter is not autistic. She can be ADHD or
LD, but she cannot be autistic. Do you understand me?!”
DISCUSSION POST INSTRUCTIONS:
Ethical and Professional Issues in Psychological Assessment
Prior to beginning work on this assignment, read the required
textbook chapters and articles for this week and view the
American Psychological Association behavioral assessment
video. For this discussion, you will take on the role of the
private psychologist being asked to re-evaluate a client.
Carefully review the
ABS 300 Week One Assessment Scenario
. In your initial post, write a rationale for either agreeing or
disagreeing with the request to re-evaluate the client based on
the information available. Explain which theoretical
assumptions about psychological testing and assessment support
your decision. Discuss the ethical responsibilities a
psychologist must consider if choosing to use psychological
assessment tools to re-evaluate the client. Provide a pro/con
analysis of both potential decisions regarding whether or not to
re-evaluate the client. In your pro/con analysis, present the
potential ethical issues which might arise from each decision--
the decision to re-evaluate and the decision to not re-evaluate--
the client in the given scenario. Assume you have the
opportunity to conduct a behavioral assessment interview before
making your decision about whether or not to conduct a full re-
evaluation. Give examples of the types of information from the
behavioral assessment would aid you in making an ethical
decision about whether or not to conduct a full re-evaluation.
Guided Response
: Review several of your colleagues’ posts and respond to at
4. least two of your peers by 11:59 p.m. on Day 7 of the week.
You are encouraged to post your required replies earlier in the
week to promote more meaningful interactive discourse in this
discussion. Constructively critique your classmate’s decision of
whether or not to re-evaluate the client and the rationale
provided. Which assumptions about psychological testing and
assessment support your viewpoint? What ethical
consideration(s), in addition to those mentioned by your
classmate, might you recommend be included? Provide a
scholarly rationale for the inclusion of these considerations.
Use information from the required resources as well as any
other appropriate peer-reviewed articles to support your
statements. Continue to monitor the discussion forum until 5:00
p.m. Mountain Standard Time (MST) on Day 7 of the week and
respond to anyone who replies to your initial post. References
must be cited according to APA guidelines as outlined in the
Ashford Writing Center
.
Carefully review the
Discussion Forum Grading Rubric
for the criteria that will be used to evaluate this Discussion
Thread.