The case to be discussed will be as follows- Ms- Marisela Sanchez is a.pdf
•
0 likes•1 view
The case to be discussed will be as follows: Ms. Marisela Sanchez is a widowed 58-year-old Nicaraguan woman, who is an immigrant, and has lived in Miami for ten years. She lives in a second floor walk-up apartment with her daughter and son-in-law and their four children in Hialeah. Her son-in-law, who is the sole breadwinner, lost his job five months ago. They are two months behind in rent and can barely afford to pay for food and utilities. About a month ago, Ms. Sanchez's daughter found a job as a custodian in a daycare center. She was laid-off, though, after two weeks, for being constantly late to work due to lack of transportation. One of Ms. Sanchez's granddaughters, Leana, is 6 years old and was diagnosed with autism spectrum disorder. Though she is uninsured, she has benefitted from home therapy services in the past and is now experiencing problems with communication in the home and school settings. Ideally, the family would like to continue therapy services, but they can no longer afford them. Ms. Sanchez, also a month ago, suffered a stroke and was hospitalized for five days. Because she has no health insurance, she is worried about her hospital bill and is unsure where to pursue primary care followup. On discharge, the hospital social worker gave her a list of several community health centers and other programs in Miami-Dade County, but she cannot decide. Part of her concern is that she is undocumented. The family hears of a health fair in Hialeah and brings Ms. Sanchez to the event, hoping to get some advice. You are part of an interdisciplinary team of students staffing a health-screening booth. Your team notices that she is able to walk slowly with a wide- based quad cane. As she answers your questions, she lets you now that she has fallen twice since discharge, without significant injury, and informs you that she has diabetes and high blood pressure. She takes oral medications, but she is getting worried. She reports that she sometimes feels like food gets caught in her throat and sometimes coughs when she drinks. She tells you she does not check her blood sugars at home, because she does not feel comfortable pricking her finger. When you calculate her BMI, it is 33 . The objectives of the exercise are to: 1. Practice team dynamics through case work. 2. Identify the social determinants related to patient health. 3. Provide an opportunity for reflection on team processes that emerge from interdisciplinary casework. Student learning outcomes for the exercise are to: 1. Demonstrate effective team dynamics through casework. 2. Integrate social determinants of health into team-based approach. 3. Describe at least two components of group process demonstrated in the interdisciplinary case discussion you participated in..
Report
Share
Report
Share
Download to read offline
Recommended
Chronic Illness: Empowering Families in the Journey - Part 2
The MFLN's Family Development, Family Transitions, Military Caregiving, and Nutrition & Wellness offer this collaborative two-part webinar on chronic illness for military family service professionals. During Part 2 participants will explore ways to help military families harness resources, utilize resilience, and provide support to promote effective management of chronic illness. Participants will engage in case study discussions to identify and assess the family development, transitions, caregiving, and nutrition/wellness perspectives of chronic illness issues within military families. Strategies, tools and resources will be shared.
If you missed Part 1, you can find the recording and resources at https://learn.extension.org/events/2899
5.4: Identifying and Serving Unsheltered Families
This document discusses strategies for identifying and housing unsheltered homeless families in New Orleans. It provides data on the extent of homelessness after Hurricane Katrina, including over 7,000 people living on the streets or in abandoned buildings. Outreach teams work to find families living in unsafe conditions and connect them to housing and social services. Three case studies describe families that were living in vehicles, abandoned homes, and on the street, and how outreach and housing assistance helped transition them to permanent housing. Key steps include temporary shelter, comprehensive assessments, medical/mental health support, and long-term housing subsidies.
Chronic Illness: Empowering Families in the Journey - Part 2
This document summarizes a webinar on chronic illness and empowering military families. The webinar discusses a case study of a mother with lupus and her struggles caring for her family. It then provides strategies for healthcare teams to effectively collaborate, such as understanding patients' experiences, enhancing communication, and connecting medical and psychological aspects of illness. Additional strategies discussed include facilitating agency, providing education and support, and maintaining empathy.
1. Social Work Research Couples CounselingKathleen is a 37-year.docx
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on.
1. Social Work Research Couples CounselingKathleen is a 37-year.docx
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on ...
SOC313 Introduction to the Miller Family Sarah (40 y.docx
SOC313
Introduction to the Miller Family
Sarah (40 yrs) and Joe Miller (43 yrs) are at the center of this family. [See the geneology maps (family
trees) for both Sarah and Joe below.] They are a middle aged couple, married 21 years with three
children. Their children are Lucy (20 yrs), Josh (17 yrs), and Abe (12 yrs). Lucy has had struggles with
substance abuse, along with having been diagnosed with bipolar disorder. Josh has been sneaking away
with friends and smoking pot. Abe is a good student but has started to act out recently.
Sarah’s parents are Donna and Manny Maldonado. Manny is third generation Hispanic American from
Mexico. Donna has long suffered from her “moods” which is mostly frustrating to Manny. He says it’s
“brujeria” (related to witches and magic). He worries that someone puts spells on her. They both are
fluent in Spanish, Donna having learned as a result of being with Manny and around his family. Sarah is
their oldest daughter followed by her brother, Mike (36) and then sister Becky (33). Becky, divorced,
has one child, Elías (10 yrs old) who was recently diagnosed with Leukemia. Mike is alone, having
recently suffered the loss of his companion of many years to AIDS. He is secretly also concerned that he
might be HIV+.
Joe’s parents are Ella and John Miller. Ella is at the center of our story as she has been trying to heal
herself from breast cancer through the use of a variety of natural means. She was raised on a farm and
is not very trusting of “modern medicine.” Her husband, (Joe’s father) John is of American Indian origin.
He uses a variety of traditional methods for health and well being and as a means of banishing bad
spirits from their home. Ella’s mother passed away over ten years ago but her father is still alive. He is
often referred to as the “shakey grandpa” by the grandchildren and great grandchildren due to the
manifestation of some symptoms of his Parkinson’s disease.
Joe has a sister, Lila (45 yrs), who has diabetes and who has always struggled with her weight. She and
her husband have one child, Alisha (20), who’s currently in college. Joe’s older brother Sam (50 yrs), was
married and then divorced years ago, has one son from whom he is estranged. He is an alcoholic who
hasn’t been able to keep a job for years.
The family and extended family get along well for the most part though the many cultural traditions and
backgrounds do clash from time to time. Manny, for example, has been known to say, “They’re crazy!”
when the family discusses some of the health issues that are going on and how they are being handled.
At one time, for example, Ella’s skin turned orange due to the amount of carrot and other juices she was
consuming in order to get rid of her cancer.
Sarah has been married to Joe long enough to know her well and when her sister Becky’s son Elias was
recently diagnosed with Leukemia, Ella was hopef.
case_conceptualization_and_treatment_planning
Monica is an 18-year-old Latina woman who was referred for treatment after a panic attack caused a violent outburst. She experiences panic attacks, tightness in her chest, hyperventilation, sweaty hands, and angry outbursts. Her panic attacks have prevented her from pursuing social and work opportunities. The treatment plan diagnoses Monica with panic disorder and sets goals of creating a safety plan, increasing self-care, and exposure to anxiety-provoking situations to help her manage her panic attacks. Therapy will utilize cognitive-behavioral techniques over 6-8 weekly individual sessions.
My Professional Portfolio 2015
This document is Alyssa Cisneros' professional portfolio. It outlines her education, experience, skills, honors and community service. For her education, she attends California Baptist University where she is studying health science with a concentration in pre-physician assistant. Her experience includes childcare and retail customer service. She has honors including being on the Dean's List and receiving academic achievement awards. Her skills include Microsoft Office, math, English and basic life support. She has also done community service working with children and the elderly. The portfolio demonstrates she is well-rounded and prepared to work in healthcare.
Recommended
Chronic Illness: Empowering Families in the Journey - Part 2
The MFLN's Family Development, Family Transitions, Military Caregiving, and Nutrition & Wellness offer this collaborative two-part webinar on chronic illness for military family service professionals. During Part 2 participants will explore ways to help military families harness resources, utilize resilience, and provide support to promote effective management of chronic illness. Participants will engage in case study discussions to identify and assess the family development, transitions, caregiving, and nutrition/wellness perspectives of chronic illness issues within military families. Strategies, tools and resources will be shared.
If you missed Part 1, you can find the recording and resources at https://learn.extension.org/events/2899
5.4: Identifying and Serving Unsheltered Families
This document discusses strategies for identifying and housing unsheltered homeless families in New Orleans. It provides data on the extent of homelessness after Hurricane Katrina, including over 7,000 people living on the streets or in abandoned buildings. Outreach teams work to find families living in unsafe conditions and connect them to housing and social services. Three case studies describe families that were living in vehicles, abandoned homes, and on the street, and how outreach and housing assistance helped transition them to permanent housing. Key steps include temporary shelter, comprehensive assessments, medical/mental health support, and long-term housing subsidies.
Chronic Illness: Empowering Families in the Journey - Part 2
This document summarizes a webinar on chronic illness and empowering military families. The webinar discusses a case study of a mother with lupus and her struggles caring for her family. It then provides strategies for healthcare teams to effectively collaborate, such as understanding patients' experiences, enhancing communication, and connecting medical and psychological aspects of illness. Additional strategies discussed include facilitating agency, providing education and support, and maintaining empathy.
1. Social Work Research Couples CounselingKathleen is a 37-year.docx
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on.
1. Social Work Research Couples CounselingKathleen is a 37-year.docx
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on ...
SOC313 Introduction to the Miller Family Sarah (40 y.docx
SOC313
Introduction to the Miller Family
Sarah (40 yrs) and Joe Miller (43 yrs) are at the center of this family. [See the geneology maps (family
trees) for both Sarah and Joe below.] They are a middle aged couple, married 21 years with three
children. Their children are Lucy (20 yrs), Josh (17 yrs), and Abe (12 yrs). Lucy has had struggles with
substance abuse, along with having been diagnosed with bipolar disorder. Josh has been sneaking away
with friends and smoking pot. Abe is a good student but has started to act out recently.
Sarah’s parents are Donna and Manny Maldonado. Manny is third generation Hispanic American from
Mexico. Donna has long suffered from her “moods” which is mostly frustrating to Manny. He says it’s
“brujeria” (related to witches and magic). He worries that someone puts spells on her. They both are
fluent in Spanish, Donna having learned as a result of being with Manny and around his family. Sarah is
their oldest daughter followed by her brother, Mike (36) and then sister Becky (33). Becky, divorced,
has one child, Elías (10 yrs old) who was recently diagnosed with Leukemia. Mike is alone, having
recently suffered the loss of his companion of many years to AIDS. He is secretly also concerned that he
might be HIV+.
Joe’s parents are Ella and John Miller. Ella is at the center of our story as she has been trying to heal
herself from breast cancer through the use of a variety of natural means. She was raised on a farm and
is not very trusting of “modern medicine.” Her husband, (Joe’s father) John is of American Indian origin.
He uses a variety of traditional methods for health and well being and as a means of banishing bad
spirits from their home. Ella’s mother passed away over ten years ago but her father is still alive. He is
often referred to as the “shakey grandpa” by the grandchildren and great grandchildren due to the
manifestation of some symptoms of his Parkinson’s disease.
Joe has a sister, Lila (45 yrs), who has diabetes and who has always struggled with her weight. She and
her husband have one child, Alisha (20), who’s currently in college. Joe’s older brother Sam (50 yrs), was
married and then divorced years ago, has one son from whom he is estranged. He is an alcoholic who
hasn’t been able to keep a job for years.
The family and extended family get along well for the most part though the many cultural traditions and
backgrounds do clash from time to time. Manny, for example, has been known to say, “They’re crazy!”
when the family discusses some of the health issues that are going on and how they are being handled.
At one time, for example, Ella’s skin turned orange due to the amount of carrot and other juices she was
consuming in order to get rid of her cancer.
Sarah has been married to Joe long enough to know her well and when her sister Becky’s son Elias was
recently diagnosed with Leukemia, Ella was hopef.
case_conceptualization_and_treatment_planning
Monica is an 18-year-old Latina woman who was referred for treatment after a panic attack caused a violent outburst. She experiences panic attacks, tightness in her chest, hyperventilation, sweaty hands, and angry outbursts. Her panic attacks have prevented her from pursuing social and work opportunities. The treatment plan diagnoses Monica with panic disorder and sets goals of creating a safety plan, increasing self-care, and exposure to anxiety-provoking situations to help her manage her panic attacks. Therapy will utilize cognitive-behavioral techniques over 6-8 weekly individual sessions.
My Professional Portfolio 2015
This document is Alyssa Cisneros' professional portfolio. It outlines her education, experience, skills, honors and community service. For her education, she attends California Baptist University where she is studying health science with a concentration in pre-physician assistant. Her experience includes childcare and retail customer service. She has honors including being on the Dean's List and receiving academic achievement awards. Her skills include Microsoft Office, math, English and basic life support. She has also done community service working with children and the elderly. The portfolio demonstrates she is well-rounded and prepared to work in healthcare.
Postpartum depression case study
Sheela was a 30-year-old mother of four who lived in a small village and had just given birth to her fourth child three months ago without any medical care. She began exhibiting signs of depression a month after birth, becoming reclusive and neglecting her children, but her family was indifferent. One day when the family was working, Sheela set herself on fire and walked out of the house, later dying from her burns in the hospital. Her death could have been prevented with antenatal/postnatal care, recognition of her high-risk status and postpartum depression symptoms, and more support from her family.
1Family Assessment and Psychotherapeutic ApproachesCol
1
Family Assessment and Psychotherapeutic Approaches
College of Nursing-PMHNP, Walden University
NRNP 6645: Psychotherapy with Multiple Modalities
June 13, 2021
2
Abstract
As providers, it is vital to be open-minded, if you are not aware or do not understand a person’s
culture, show your patients respect. Be engaged, respectful, and ask questions. Learn from your
patients, this helps develop a rapport. As providers we are obligated to provide optimal care, if
we feel a patient's needs are out of our scope, the client should be referred to a provider that can
give them the help they need and deserve (Nichols & Davis, 2020).
The purpose of this paper is to provide documentation and a psychiatric comprehensive
assessment of a patient and family during a family therapy interview that highlights differences
in a multicultural family, respecting cultural norms and differences, and develop an
individualized treatment plan.
Keywords: Family therapy
3
Family Assessment and Psychotherapeutic Approaches
Subjective:
CC (chief complaint): “I like to learn to live on my own and not depend on the kids.”
HPI: A 40-year-old female (Patti) and her five children (Sheela age 24, Sharleen aged 23
and present today, Shireen age 21 recently reunited with family, Armin Jr. age 18, and Sam age
15), of Iranian descent, has been in individual and family therapy for the last 18 months. Patti
came to the clinic related to chaos in the home after her daughter was finally reunited with the
family after ten years. The family initially had rejoiced and celebrated, and after a few weeks,
Shireen began to tell her mother and siblings the emotional, physical, and sexual abuse at the
hands of her father. She blamed and felt abandoned by her mother. Patti needed necessary
surgery to both her feet after an injury, that has now left her disabled and with chronic pain. The
additional burden of surgery and disability has increased tension and stress in the home. Patti
lives with her two sons; her daughters live on their own. Shireen recently moved out, marrying
someone the family does not know, with little contact. Mother speaks and sees Sheela and
Sharleen daily. Patti has increasingly felt alone, depressed, hopeless, and helpless wanting her
daughters to stay and help her at her home. A psychiatric provider has been referred for a
medication evaluation.
Past Psychiatric History:
General Statement: Patti and her family began therapy 18 months ago after daughter
Shireen reunited with the family after 12 years of separation. Shireen shared significant abuse
she experienced, learning the trauma she went through brought on many emotions of the family
including blame, guilt, shame increasing stress on the family.
Caregivers: N/A
4
Hospitalizations: Patti denies any past psychiatric hospitalizations or history. The patient
has no history of substance abuse or residential treatment. Patti denies suicidal and homicid ...
2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan. This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes. The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows: The client is a 27-year-old African female who resides in Maryland. She is a single, heterosexual, mother of fraternal twins,a boy and a girl. She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management. The client has been receiving psychotherapy for the past two years. Her presenting problem revolves around learning how to be independent while coping with her mental illness. She stated, “I need help with figuring out my finances.” History of present illness: Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive. She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy. The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis. Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed. The
3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin. The client has no substance use history, and developmental milestones were reached as expected. No family psychiatric history reported. Psychosocial history: She currently lives with her father. Her youngest brother and cousin, who is married, also reside in the same house. She works a full-time minimum wage job and is recently single. She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex. She is the mother of fraternal twins, a boy and a girl. No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140). Client denies feeling sad, irritable, tired, h.
Polyvagal theory case vingette (health-ptsd-microagressions)
This slide deck explores a hypothetical clinical case through the lens of poly-vagal theory, micro-aggressions, somatic experiencing and neurodevelopment sequencing.
Family assessment
Provide a brief overview of the family members in the chosen case study.
Complete a genogram and ecomap.
Explain the key points of therapeutic conversation.
Formulate key questions for additional information.
Ensure your assessment addresses:
Identifying data
Developmental stage and history of family
Environmental data
Family structure
Family functions
Family stress and coping
Family composition
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
By Day 7
Submit
your Assignment.
Required Readings
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014).
Social work case studies: Concentration year
. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].
“Working With Groups: Latino Patients Living With HIV/AIDS” (pp. 39–41)
Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.
Chapter 11, “Task Groups: Foundation Methods” (pp. 336-363)
Chapter 12, “Task Groups: Specialized Methods” (pp. 364–395)
Himalhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis.
AIDS Patient Care and STDs,
21
(10), 732–739
Lasky, G. B., & Riva, M. T. (2006). Confidentiality and privileged communication in group psychotherapy.
International Journal of Group Psychotherapy
,
56
(4), 455–476.
Toseland, R. W., & Rivas, R. F. (2017).
An introduction to group work practice
(8th ed.). Boston, MA: Pearson.
Chapter 1, “Introduction” (pp. 1–42)
Chapter 2, “Historical and Theoretical Developments” (pp. 45–66)
Required Media
Walden University. (n.d.). Cortez multimedia: A meeting of an interdisciplinary team.
MSW Interactive Homepage
[Multimedia file]. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 8 minutes.
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whet.
Proposal (1)
This proposal outlines a plan to create a community mental health program in Los Angeles to help homeless individuals suffering from severe mental illnesses like schizophrenia and psychosis. The program would provide psychological treatment, medication, job counseling, and housing. It analyzes the large number of homeless individuals with untreated mental illnesses in LA and the lack of adequate treatment facilities. The proposal describes the staffing, facilities, intake process, and timeline to establish the program over 12 months. The goal is to help patients improve their mental health and end their cycle of homelessness by providing a supportive community environment.
Integrating Recovery and Community Concepts into Behavioral Health Practice
Mark Salzer is the Director of the Temple University Collaborative on Community Inclusion of Individuals with Psychiatric Disorders. The Collaborative is funded by the National Institute on Disability and Rehabilitation Research (NIDRR) whose research focuses on what kinds of things support people with schizophrenia, bipolar disorder, and major depression to live in their communities like everyone else. Salzer recently gave this presentation on Brainshark.com.
As Salzer explains in the presentation, the numbers of people living in state mental hospitals and institutions has decreased dramatically—from just under 370,000 in 1969 to just over 41,000 in 2011. “However, while more people with mental illnesses are now living in the community… they are not of the community like everyone else.”
Hcs330 community advocacy case study
Stephanie is a 22-year-old woman struggling with substance abuse who wants to attend nursing school. She has no family support and her doctor refuses to help her due to personal biases. Teresa, an advocate, helps Stephanie get insurance and enroll in an inpatient treatment program. Teresa also assists Stephanie in understanding medical forms and applying for loans to attend nursing school. With Teresa's support, Stephanie successfully completes treatment, passes a drug test, and enrolls in nursing school.
Comprehensive Treatment Plan
The client is a 72-year-old widowed Italian-American woman who was referred after breaking her hip in a fall. She lives alone and has developed agoraphobia after being mugged four years ago. Her treatment plan involves her daughter providing long-term care at her home with in-home aide help three times a week. The client will also undergo exposure therapy to gradually overcome her phobia, including walking outside alone near her daughter's home. She will work with a cognitive behavioral therapist and may try EMDR therapy or a support group. The goal is for the client to regain independence and mobility over the next year with support from her family and community.
A Mental Health Community
The document discusses the problem of homelessness and mental illness in Los Angeles. It proposes creating a mental health community to help get mentally ill homeless people off the streets. The community would provide housing, therapy, psychiatric care, job counseling, and other services. It aims to break the cycle that traps many mentally ill homeless people and give them opportunities to improve their mental health and lives.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ ...
Bipolar Blog Discussion Paper.docx
S.N. is a 15-year-old female who was brought to a facility by her uncle for evaluation of bipolar disorder type 1. She has a history of risky behaviors like substance use and unsafe sexual encounters. Her current medications are not effective and she is non-compliant. The treatment plan aims to simplify her medication regimen to improve compliance and provide psychotherapy and education to support her safety, well-being and recovery.
SW 210Virtual Field Trip Assignment InstructionsFor this assignm
SW 210
Virtual Field Trip Assignment Instructions
For this assignment, you will explore the impact of transportation issues on child welfare, from the point of view of a parent. Consider the situation outlined below:The Situation
You are a single parent with three children (ages 2, 6, and 7). You and your children live in public housing (McKenzie Courts, Tuscaloosa, Alabama). You have very limited resources – nothing extra most months. You rely on public transportation for the majority of your errands. However, your sister has a car and is willing to help when she can, but she works. Her schedule changes weekly. You also have a caseworker at DHR that can access some support services if you plan ahead. Today you have an appointment at DHR at 9:30 a.m. but your youngest child is home not feeling well. You have made her an appointment at University Medical Center. They can see her at 1:00 p.m. Your other two children will be getting home from school around 3:30. Today is also the day you have parenting classes that are court-ordered. Your classes are held at Tuscaloosa’s One Place at 5:00 p.m. for one hour. Childcare is provided at these classes.Questions
After reviewing the situation, compose answers to the following questions:
1. Can you make all your appointments today using public transportation? (Refer to tuscaloosatransit.com)
2. How much will it cost?
3. What other options do you have?
4.
What will you do if you are running behind?
Nursing 211
Mental Health Nursing
Clinical Homework on Communication
Read
Chapter 9 (Therapeutic Communication) of your required textbook, Varcarolis'
Foundations of Psychiatric-Mental Health Nursing by M.J. Halter. Based on your reading,
respond to the following questions
(must be typed, 12-point font size, double-spaced with proper grammar/spelling, and pages stapled). A hard copy of the paper must be submitted in clinical next week. Be prepared to discuss your answers.
1. Identify at least six therapeutic verbal communication techniques.
Explain each one and
come up with your own example.
2. Identify at least six nontherapeutic verbal communication techniques.
Explain each one and provide an example.
Nursing 211
Mental Health Nursing
Student Name _________________________________________ Date___________________
Case Study
Myles is a 20-year-old man who was brought to the emergency room by the campus police of the college from which he had been suspended several months ago. A professor had called and reported that Myles walked into his classroom yelling and accusing him of taking his tuition money.
Although Myles had much academic success as a teenager, his behavior has become increasingly odd during the past year. He quit seeing his friends and no longer seems to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lives with several family members but rarely ...
It brings me immense pleasure to write this letter of recommenda.docx
It brings me immense pleasure to write this letter of recommendation in strong support of ()and her application for your residency program. As a current internist with extensive work experience, and a former Chief Resident during my residency, I am very familiar with the rigorous and intensive training program ahead of Shalini. Knowing the challenges in store for her, I can confidently affirm that Shalini will exceed expectations in your program. Throughout my career, I have had the opportunity to work with many skilled and competent doctors, but seldom do I have the opportunity to work with someone as talented and diligent as Shalini.
Shalini worked under my supervision for a period of two months while gaining her clinical experience. During these two months, I had the opportunity to get to know her quite well and am able to thoroughly vouch for both her knowledge and clinical skills. I believe that Shalini’s insatiable thirst to learn, coupled with her strong work ethic, is primarily responsible for her vast clinical knowledge. I have never witnessed Shalini unprepared. She is consistently ready for all types of clinical situations, arriving early having reviewed patients’ files, chalked out target questions, and cross-referenced with the lab findings. On the rare occasion that a case would present an area of medicine that she was unfamiliar with, her interest would be piqued and research would begin—more than once I observed Shalini be presented with new information, and the following day having read so much about the subject, speak with me at an expert level regarding potential diagnoses. As a physician, I feel that the dedication to lifelong learning that Shalini exhibits is absolutely necessary in this career. In fact, I recall an instance when I was particularly impressed by Shalini’s knowledge and intellect, as well as her clinical skills; a patient had arrived at the clinic experiencing shortness of breath. As Shalini observed this patient and conducted a meticulous physical examination, she noted skin pigmentations, ascites, and learned of the patient’s joint pain. Through quick intuition, she rapidly deduced that the patient was suffering from hemochromatosis leading to congestive heart failure. I have no doubt that the forethought, sound judgment, and critical thinking skills I’ve seen Shalini exhibit time and time again will save countless patients over her career.
In addition to her knowledge and clinical skills, Shalini’s dedication to patients also stands out. She places emphasis on patient counseling and follow-ups, usually developing not only rapport, but relationships with her patients. Her ability to communicate with patients, explaining complex clinical conditions in simple, easily understood ways, helps enable patients to become more trusting of their physician and also more confident in the quality of care they’re receiving. She also goes above and beyond to find innovative ways of fostering patient education—I recall h.
160840-health-template-16x9 (1).pptx
Mrs. X is a 78-year-old widow who lives alone in subsidized housing. She has some health issues including hypertension, diabetes, stroke-related cognitive impairment, and memory problems. A holistic assessment was conducted of Mrs. X's social, spiritual, physical, psychological, cultural, and developmental well-being. Recommendations were provided to enhance Mrs. X's participation in social activities, spiritual practices, physical fitness, emotional wellness, avoidance of impaired social interactions, and emotional intelligence. An evaluation plan was created to help Mrs. X improve her cognitive function and independence through participating in the recommended activities and social engagement.
National Council Magazine - Crisis to Recovery Edition
The article discusses the need for improved crisis services in the US. Currently, many people in crisis end up in emergency rooms without adequate care or follow up. The authors argue that a comprehensive community-based crisis system is needed to treat mental health crises with the same urgency as physical health emergencies. Examples from some states and communities show promising approaches, including using data and technology for real-time coordination, and peer-based crisis services that provide support in home-like settings rather than institutions. The authors call for a national effort to transform crisis mental health care.
NatConMag2016
The article discusses the need for improved crisis services in the US. Currently, many people in crisis end up in emergency rooms without adequate care or follow up. The authors argue that a comprehensive community-based crisis system is needed to treat mental health crises with the same urgency as physical health emergencies. Examples from some states show promising approaches like using data and technology to coordinate services and providing alternatives to hospitalization through mobile crisis teams and crisis stabilization settings. The authors call for a national effort to transform crisis mental health services.
The critical path is (letters)- A) The duration is (number)- A- The sl.pdf
The critical path is (letters): A) The duration is (number): A. The slack for activity A is
(number): A. The slack for activity B is (number): A The slack for activity C is (number): A)
The slack for activity D is (number): A The slack for activity E is (number): A) The slack for
activity F is (number):.
The contribution format income statement for the month for a Corporati.pdf
The contribution format income statement for the month for a Corporation appears below: The
degree of operating leverage is closest to: Multiple Choice 0.10 4.35 9.76 0.23.
More Related Content
Similar to The case to be discussed will be as follows- Ms- Marisela Sanchez is a.pdf
Postpartum depression case study
Sheela was a 30-year-old mother of four who lived in a small village and had just given birth to her fourth child three months ago without any medical care. She began exhibiting signs of depression a month after birth, becoming reclusive and neglecting her children, but her family was indifferent. One day when the family was working, Sheela set herself on fire and walked out of the house, later dying from her burns in the hospital. Her death could have been prevented with antenatal/postnatal care, recognition of her high-risk status and postpartum depression symptoms, and more support from her family.
1Family Assessment and Psychotherapeutic ApproachesCol
1
Family Assessment and Psychotherapeutic Approaches
College of Nursing-PMHNP, Walden University
NRNP 6645: Psychotherapy with Multiple Modalities
June 13, 2021
2
Abstract
As providers, it is vital to be open-minded, if you are not aware or do not understand a person’s
culture, show your patients respect. Be engaged, respectful, and ask questions. Learn from your
patients, this helps develop a rapport. As providers we are obligated to provide optimal care, if
we feel a patient's needs are out of our scope, the client should be referred to a provider that can
give them the help they need and deserve (Nichols & Davis, 2020).
The purpose of this paper is to provide documentation and a psychiatric comprehensive
assessment of a patient and family during a family therapy interview that highlights differences
in a multicultural family, respecting cultural norms and differences, and develop an
individualized treatment plan.
Keywords: Family therapy
3
Family Assessment and Psychotherapeutic Approaches
Subjective:
CC (chief complaint): “I like to learn to live on my own and not depend on the kids.”
HPI: A 40-year-old female (Patti) and her five children (Sheela age 24, Sharleen aged 23
and present today, Shireen age 21 recently reunited with family, Armin Jr. age 18, and Sam age
15), of Iranian descent, has been in individual and family therapy for the last 18 months. Patti
came to the clinic related to chaos in the home after her daughter was finally reunited with the
family after ten years. The family initially had rejoiced and celebrated, and after a few weeks,
Shireen began to tell her mother and siblings the emotional, physical, and sexual abuse at the
hands of her father. She blamed and felt abandoned by her mother. Patti needed necessary
surgery to both her feet after an injury, that has now left her disabled and with chronic pain. The
additional burden of surgery and disability has increased tension and stress in the home. Patti
lives with her two sons; her daughters live on their own. Shireen recently moved out, marrying
someone the family does not know, with little contact. Mother speaks and sees Sheela and
Sharleen daily. Patti has increasingly felt alone, depressed, hopeless, and helpless wanting her
daughters to stay and help her at her home. A psychiatric provider has been referred for a
medication evaluation.
Past Psychiatric History:
General Statement: Patti and her family began therapy 18 months ago after daughter
Shireen reunited with the family after 12 years of separation. Shireen shared significant abuse
she experienced, learning the trauma she went through brought on many emotions of the family
including blame, guilt, shame increasing stress on the family.
Caregivers: N/A
4
Hospitalizations: Patti denies any past psychiatric hospitalizations or history. The patient
has no history of substance abuse or residential treatment. Patti denies suicidal and homicid ...
2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan. This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes. The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows: The client is a 27-year-old African female who resides in Maryland. She is a single, heterosexual, mother of fraternal twins,a boy and a girl. She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management. The client has been receiving psychotherapy for the past two years. Her presenting problem revolves around learning how to be independent while coping with her mental illness. She stated, “I need help with figuring out my finances.” History of present illness: Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive. She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy. The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis. Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed. The
3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin. The client has no substance use history, and developmental milestones were reached as expected. No family psychiatric history reported. Psychosocial history: She currently lives with her father. Her youngest brother and cousin, who is married, also reside in the same house. She works a full-time minimum wage job and is recently single. She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex. She is the mother of fraternal twins, a boy and a girl. No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140). Client denies feeling sad, irritable, tired, h.
Polyvagal theory case vingette (health-ptsd-microagressions)
This slide deck explores a hypothetical clinical case through the lens of poly-vagal theory, micro-aggressions, somatic experiencing and neurodevelopment sequencing.
Family assessment
Provide a brief overview of the family members in the chosen case study.
Complete a genogram and ecomap.
Explain the key points of therapeutic conversation.
Formulate key questions for additional information.
Ensure your assessment addresses:
Identifying data
Developmental stage and history of family
Environmental data
Family structure
Family functions
Family stress and coping
Family composition
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
By Day 7
Submit
your Assignment.
Required Readings
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014).
Social work case studies: Concentration year
. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].
“Working With Groups: Latino Patients Living With HIV/AIDS” (pp. 39–41)
Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.
Chapter 11, “Task Groups: Foundation Methods” (pp. 336-363)
Chapter 12, “Task Groups: Specialized Methods” (pp. 364–395)
Himalhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis.
AIDS Patient Care and STDs,
21
(10), 732–739
Lasky, G. B., & Riva, M. T. (2006). Confidentiality and privileged communication in group psychotherapy.
International Journal of Group Psychotherapy
,
56
(4), 455–476.
Toseland, R. W., & Rivas, R. F. (2017).
An introduction to group work practice
(8th ed.). Boston, MA: Pearson.
Chapter 1, “Introduction” (pp. 1–42)
Chapter 2, “Historical and Theoretical Developments” (pp. 45–66)
Required Media
Walden University. (n.d.). Cortez multimedia: A meeting of an interdisciplinary team.
MSW Interactive Homepage
[Multimedia file]. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 8 minutes.
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whet.
Proposal (1)
This proposal outlines a plan to create a community mental health program in Los Angeles to help homeless individuals suffering from severe mental illnesses like schizophrenia and psychosis. The program would provide psychological treatment, medication, job counseling, and housing. It analyzes the large number of homeless individuals with untreated mental illnesses in LA and the lack of adequate treatment facilities. The proposal describes the staffing, facilities, intake process, and timeline to establish the program over 12 months. The goal is to help patients improve their mental health and end their cycle of homelessness by providing a supportive community environment.
Integrating Recovery and Community Concepts into Behavioral Health Practice
Mark Salzer is the Director of the Temple University Collaborative on Community Inclusion of Individuals with Psychiatric Disorders. The Collaborative is funded by the National Institute on Disability and Rehabilitation Research (NIDRR) whose research focuses on what kinds of things support people with schizophrenia, bipolar disorder, and major depression to live in their communities like everyone else. Salzer recently gave this presentation on Brainshark.com.
As Salzer explains in the presentation, the numbers of people living in state mental hospitals and institutions has decreased dramatically—from just under 370,000 in 1969 to just over 41,000 in 2011. “However, while more people with mental illnesses are now living in the community… they are not of the community like everyone else.”
Hcs330 community advocacy case study
Stephanie is a 22-year-old woman struggling with substance abuse who wants to attend nursing school. She has no family support and her doctor refuses to help her due to personal biases. Teresa, an advocate, helps Stephanie get insurance and enroll in an inpatient treatment program. Teresa also assists Stephanie in understanding medical forms and applying for loans to attend nursing school. With Teresa's support, Stephanie successfully completes treatment, passes a drug test, and enrolls in nursing school.
Comprehensive Treatment Plan
The client is a 72-year-old widowed Italian-American woman who was referred after breaking her hip in a fall. She lives alone and has developed agoraphobia after being mugged four years ago. Her treatment plan involves her daughter providing long-term care at her home with in-home aide help three times a week. The client will also undergo exposure therapy to gradually overcome her phobia, including walking outside alone near her daughter's home. She will work with a cognitive behavioral therapist and may try EMDR therapy or a support group. The goal is for the client to regain independence and mobility over the next year with support from her family and community.
A Mental Health Community
The document discusses the problem of homelessness and mental illness in Los Angeles. It proposes creating a mental health community to help get mentally ill homeless people off the streets. The community would provide housing, therapy, psychiatric care, job counseling, and other services. It aims to break the cycle that traps many mentally ill homeless people and give them opportunities to improve their mental health and lives.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ.
· Referral information Client reported that she has been struggli.docx
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ ...
Bipolar Blog Discussion Paper.docx
S.N. is a 15-year-old female who was brought to a facility by her uncle for evaluation of bipolar disorder type 1. She has a history of risky behaviors like substance use and unsafe sexual encounters. Her current medications are not effective and she is non-compliant. The treatment plan aims to simplify her medication regimen to improve compliance and provide psychotherapy and education to support her safety, well-being and recovery.
SW 210Virtual Field Trip Assignment InstructionsFor this assignm
SW 210
Virtual Field Trip Assignment Instructions
For this assignment, you will explore the impact of transportation issues on child welfare, from the point of view of a parent. Consider the situation outlined below:The Situation
You are a single parent with three children (ages 2, 6, and 7). You and your children live in public housing (McKenzie Courts, Tuscaloosa, Alabama). You have very limited resources – nothing extra most months. You rely on public transportation for the majority of your errands. However, your sister has a car and is willing to help when she can, but she works. Her schedule changes weekly. You also have a caseworker at DHR that can access some support services if you plan ahead. Today you have an appointment at DHR at 9:30 a.m. but your youngest child is home not feeling well. You have made her an appointment at University Medical Center. They can see her at 1:00 p.m. Your other two children will be getting home from school around 3:30. Today is also the day you have parenting classes that are court-ordered. Your classes are held at Tuscaloosa’s One Place at 5:00 p.m. for one hour. Childcare is provided at these classes.Questions
After reviewing the situation, compose answers to the following questions:
1. Can you make all your appointments today using public transportation? (Refer to tuscaloosatransit.com)
2. How much will it cost?
3. What other options do you have?
4.
What will you do if you are running behind?
Nursing 211
Mental Health Nursing
Clinical Homework on Communication
Read
Chapter 9 (Therapeutic Communication) of your required textbook, Varcarolis'
Foundations of Psychiatric-Mental Health Nursing by M.J. Halter. Based on your reading,
respond to the following questions
(must be typed, 12-point font size, double-spaced with proper grammar/spelling, and pages stapled). A hard copy of the paper must be submitted in clinical next week. Be prepared to discuss your answers.
1. Identify at least six therapeutic verbal communication techniques.
Explain each one and
come up with your own example.
2. Identify at least six nontherapeutic verbal communication techniques.
Explain each one and provide an example.
Nursing 211
Mental Health Nursing
Student Name _________________________________________ Date___________________
Case Study
Myles is a 20-year-old man who was brought to the emergency room by the campus police of the college from which he had been suspended several months ago. A professor had called and reported that Myles walked into his classroom yelling and accusing him of taking his tuition money.
Although Myles had much academic success as a teenager, his behavior has become increasingly odd during the past year. He quit seeing his friends and no longer seems to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lives with several family members but rarely ...
It brings me immense pleasure to write this letter of recommenda.docx
It brings me immense pleasure to write this letter of recommendation in strong support of ()and her application for your residency program. As a current internist with extensive work experience, and a former Chief Resident during my residency, I am very familiar with the rigorous and intensive training program ahead of Shalini. Knowing the challenges in store for her, I can confidently affirm that Shalini will exceed expectations in your program. Throughout my career, I have had the opportunity to work with many skilled and competent doctors, but seldom do I have the opportunity to work with someone as talented and diligent as Shalini.
Shalini worked under my supervision for a period of two months while gaining her clinical experience. During these two months, I had the opportunity to get to know her quite well and am able to thoroughly vouch for both her knowledge and clinical skills. I believe that Shalini’s insatiable thirst to learn, coupled with her strong work ethic, is primarily responsible for her vast clinical knowledge. I have never witnessed Shalini unprepared. She is consistently ready for all types of clinical situations, arriving early having reviewed patients’ files, chalked out target questions, and cross-referenced with the lab findings. On the rare occasion that a case would present an area of medicine that she was unfamiliar with, her interest would be piqued and research would begin—more than once I observed Shalini be presented with new information, and the following day having read so much about the subject, speak with me at an expert level regarding potential diagnoses. As a physician, I feel that the dedication to lifelong learning that Shalini exhibits is absolutely necessary in this career. In fact, I recall an instance when I was particularly impressed by Shalini’s knowledge and intellect, as well as her clinical skills; a patient had arrived at the clinic experiencing shortness of breath. As Shalini observed this patient and conducted a meticulous physical examination, she noted skin pigmentations, ascites, and learned of the patient’s joint pain. Through quick intuition, she rapidly deduced that the patient was suffering from hemochromatosis leading to congestive heart failure. I have no doubt that the forethought, sound judgment, and critical thinking skills I’ve seen Shalini exhibit time and time again will save countless patients over her career.
In addition to her knowledge and clinical skills, Shalini’s dedication to patients also stands out. She places emphasis on patient counseling and follow-ups, usually developing not only rapport, but relationships with her patients. Her ability to communicate with patients, explaining complex clinical conditions in simple, easily understood ways, helps enable patients to become more trusting of their physician and also more confident in the quality of care they’re receiving. She also goes above and beyond to find innovative ways of fostering patient education—I recall h.
160840-health-template-16x9 (1).pptx
Mrs. X is a 78-year-old widow who lives alone in subsidized housing. She has some health issues including hypertension, diabetes, stroke-related cognitive impairment, and memory problems. A holistic assessment was conducted of Mrs. X's social, spiritual, physical, psychological, cultural, and developmental well-being. Recommendations were provided to enhance Mrs. X's participation in social activities, spiritual practices, physical fitness, emotional wellness, avoidance of impaired social interactions, and emotional intelligence. An evaluation plan was created to help Mrs. X improve her cognitive function and independence through participating in the recommended activities and social engagement.
National Council Magazine - Crisis to Recovery Edition
The article discusses the need for improved crisis services in the US. Currently, many people in crisis end up in emergency rooms without adequate care or follow up. The authors argue that a comprehensive community-based crisis system is needed to treat mental health crises with the same urgency as physical health emergencies. Examples from some states and communities show promising approaches, including using data and technology for real-time coordination, and peer-based crisis services that provide support in home-like settings rather than institutions. The authors call for a national effort to transform crisis mental health care.
NatConMag2016
The article discusses the need for improved crisis services in the US. Currently, many people in crisis end up in emergency rooms without adequate care or follow up. The authors argue that a comprehensive community-based crisis system is needed to treat mental health crises with the same urgency as physical health emergencies. Examples from some states show promising approaches like using data and technology to coordinate services and providing alternatives to hospitalization through mobile crisis teams and crisis stabilization settings. The authors call for a national effort to transform crisis mental health services.
Similar to The case to be discussed will be as follows- Ms- Marisela Sanchez is a.pdf (20)
1Family Assessment and Psychotherapeutic ApproachesCol
1Family Assessment and Psychotherapeutic ApproachesCol
2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing ClientsA comprehensive assessment of the patient who p.docx
Polyvagal theory case vingette (health-ptsd-microagressions)
Polyvagal theory case vingette (health-ptsd-microagressions)
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group .docx
Integrating Recovery and Community Concepts into Behavioral Health Practice
Integrating Recovery and Community Concepts into Behavioral Health Practice
· Referral information Client reported that she has been struggli.docx
· Referral information Client reported that she has been struggli.docx
· Referral information Client reported that she has been struggli.docx
· Referral information Client reported that she has been struggli.docx
SW 210Virtual Field Trip Assignment InstructionsFor this assignm
SW 210Virtual Field Trip Assignment InstructionsFor this assignm
It brings me immense pleasure to write this letter of recommenda.docx
It brings me immense pleasure to write this letter of recommenda.docx
National Council Magazine - Crisis to Recovery Edition
National Council Magazine - Crisis to Recovery Edition
More from SeanmxeHardacrea
The critical path is (letters)- A) The duration is (number)- A- The sl.pdf
The critical path is (letters): A) The duration is (number): A. The slack for activity A is
(number): A. The slack for activity B is (number): A The slack for activity C is (number): A)
The slack for activity D is (number): A The slack for activity E is (number): A) The slack for
activity F is (number):.
The contribution format income statement for the month for a Corporati.pdf
The contribution format income statement for the month for a Corporation appears below: The
degree of operating leverage is closest to: Multiple Choice 0.10 4.35 9.76 0.23.
The Corporation has provided the following contribution format income.pdf
The Corporation has provided the following contribution format income statemont. Assume that
the following informstion is within the relevant range. The contribution margin ratio is closest to:
Mueplo Choice 40 r ars 60 n.
The Charter protects certain rights that apply only to Canadian citize.pdf
The Charter protects certain rights that apply only to Canadian citizens and not to permanent
residents of Canada. One of those rights is that only Canadian citizens have is:
The right to vote in a federal or provincial election.
The right to run for office in a federal or provincial election.
Both A and B are correct.
Neither A nor B are correct; the Charter does not limit any rights of permanent residents of
Canada.
The Constitution includes several different laws, traditions, and
Decisions by judges
Agreements between the federal and provincial governments
The ongoing input from the British Parliament
Both A. and B.
None of the above are included in the Constitution
In 1982, the ________ and the ___________, signed the Constitution Act, 1982, which included
the British North America Act and the Canadian Charter of Rights and Freedoms.
Governor General ; Queen
Governor General; Right Honourable Pierre Trudeau, Prime Minister
Queen ; Right Honourable Pierre Trudeau, Prime Minister
Queen ; Right Honourable Justin Trudeau, Prime Minister
The Canadian Charter of Rights and Freedoms forms the first part of the
Declaration of Independence
United Nations Declaration of Human Rights
Constitution Act, 1982
Act of Canadian Unification
The official language rights make ____________ the official language(s) of Canada for all the
institutions of the government and Parliament of Canada and of the New Brunswick government
and legislature.
English
French
English, French and First Nation languages
English and French
Canada was created by an act of the Parliament of the United Kingdom called the British North
America Act, 1867 (now known as the Constitution Act, 1867) uniting the British colonies of the
United provinces of Canada and Prince Edward Island
Upper Canada, Lower Canada and Nova Scotia
United provinces of Canada, Nova Scotia, and New Brunswick
Nova Scotia, New Brunswick and Prince Edward Island.
Both federal and provincial laws can be challenged, and thrown out by the courts, on the grounds
that they violate the Charter.
True
False
Under the terms of the Canada Act, the Constitution Act, 1982, was proclaimed in Canada and
"patriation" was achieved.
True
False
The Charter protects individuals when they face racial discrimination at their job in the private
sector.
True
False
A. The right to vote in a federal or provincial election.
B. The right to run for office in a federal or provincial election.
C. Both A and B are correct.
Neither A nor B are correct; the Charter does not limit any rights of permanent residents of
Canada.
The Constitution includes several different laws, traditions, and
A. Decisions by judges
B. Agreements between the federal and provincial governments
C. The ongoing input from the British Parliament
D. Both A. and B.
None of the above are included in the Constitution
In 1982, the ________ and the ___________, signed the Constitution Act, 1982, which
included the British North America Act and the Canadian Charter of Rights and
.
The cell below has undergone DNA replication and is preparing to begin.pdf
The cell below has undergone DNA replication and is preparing to begin meiosis. Which of the
following best describes the products of meiosis that will result from this cell? Two cells where n
= 2 that become somatic cells: Four cells where n = 2 that become ganetes. Four cells where n =
4 that beconce gametes. Two cells where = 4 that becone somulis cells:.
The basic accounting equation cannot be restated as Assets + Liabiliti.pdf
The basic accounting equation cannot be restated as Assets + Liabilities = Stockholders' Equity.
Assets - Stockholders' Equity = Liabilities. Stockholders' Equity + Liabilities = Assets. Assets
Liabilities = Stockholders' Equity..
The basic feature of collaboration is Distributing project tasks so th.pdf
The basic feature of collaboration is Distributing project tasks so that the work can be done
effieciently and quickly Organizing the project into a logical sequence of steps, each completed
by an individual Individuals working to maximize the quality of their assigned task Individuals
checking in with each other regularly to ensure the project goals are maximized.
The averopt tobin for larse-cap semestic seck funds over the thite yea.pdf
The averopt tobin for larse-cap semestic seck funds over the thite yeans 2009 2011 was 14.44.t.
Assume the three pear returns were normally distributed across funds with o standard deviatio
(b) What is the brobabiity an indivdual large-cap demenbe stock fund had a three year retum of
10 s. er isss? (Round your answer to four decimal piaces.).
The average score of all Canadians regarding their degree of worry abo.pdf
The average score of all Canadians regarding their degree of worry about H1N1 is 2.07 with a
standard deviation of 1.24. Conduct a full hypothesis test for the claim that the average score of
people in the Atlantic region was significantly higher than the Canadian average. Use a
significance level of = 0.05 . Refer to your P -value to interpret the result of your hypothesis test..
The assembly division of Canterbury Watches- Inc- uses the FIFO method.pdf
The assembly division of Canterbury Watches uses the FIFO method of process costing. Data is provided for physical units and costs for direct materials and conversion costs for May 2020. Equivalent units must be calculated for direct materials and conversion costs, with physical units shown in the first column.
The arrival of messages at a Web site can be described by a Poisson pr.pdf
The arrival of messages at a Web site can be described by a Poisson process. The average
number of messages that arrive at the Web site is 6000 messages per minute. (a) What is the
probability that at most 500 messages are received in five seconds? (Round to four decimal
places.) (b) If more than 125 messages arrive in one second, the website will go down. What is
the probability that the website will go down? (Round to four decimal places.).
the answers are 1-utilitarianism 2-respect for nature 3- animal right.pdf
the answers are
1.utilitarianism
2.respect for nature
3. animal rights
A. Many places that humans greatly value or enjoy visiting would be off limits if they are also
use by individual non-human animals who may be impacted, hurt, or killed by human presence.
B. Certain species may be considered more important than others or prioritized over other
species. To some extent, in this perspective, the importance of a species to ecosystem
functioning influences how humans 'should' intervene in the environment. C. Prioritizing
individual animals requires radical changes to the ways we currently interact with animals,
across agriculture, pet ownership, conservation, etc. This would be difficult to implement and
have far reaching impacts. D. It can be difficult to compare and weigh different types and
degrees of harm involving animals, especially when moving from the individual to the
population and/or species. E. Prioritizing animals as individuals may mean losing more species
to extinction, since this perspective prefers individual animals to be free in the wild even if
raising and caring for some individuals in captivity could benefit the species population numbers.
F. Some individuals may still be harmed or forced to pay the price for what is deemed "good" or
the "best" outcome possible overall. 6. Determining the "best outcome" or how to "limit
suffering" can be difficult to assess. Some stakeholders do not get an informed say (e.g, animals
or people who may not know conservation decisions are being made). H. An introduced species,
which may thrive in an environment, may have to be removed or killed to return the ecosystem
to a "normal" or "natural" state. In acdition it isn't always clear what version of a "natural state"
we ought to return to..
the answers are 1-utilitarianism 2-respect for nature 3- animal rights.pdf
the answers are
1.utilitarianism
2.respect for nature
3. animal rights
A. Many places that humans greatly value or enjoy visiting would be off limits if they are also
used by individual non-human animals who may be impacted, hurt, or killed by human presence.
B. Certain species may be considered more important than others or prioritized over other
species. To some extent, in this perspective, the importance of a species to ecosystem
functioning influences how humans 'should' intervene in the environment. C. Prioritizing
individual animals requires radical changes to the ways we currently interact with animals,
across agriculture, pet ownership, conservation, etc. This would be difficult to implement and
have far reaching impacts. D. It can be difficult to compare and weigh different types and
degrees of harm involving animals, especially when moving from the individual to the
population and/or species. E. Prioritizing animals as individuals may mean losing more species
to extinction, since this perspective prefers individual animals to be free in the wild even if
raising and caring for some individuals in captivity could benefit the species population numbers.
F. Some individuals may still be harmed or forced to pay the price for what is deemed "good" or
the "best" outcome possible overall. G. Determining the "best outcome" or how to "limit
suffering" can be difficult to assess. Some stakeholders do not get an informed say (e.g., animals
or people who may not know conservation decisions are being made). H. An introduced species,
which may thrive in an environment, may have to be removed or killed to return the ecosystem
to a "normal" or "natural" state In addition it isn't a ways clear what version of a "natural state"
we ought to return to..
The amphibian populations in Lake X have been observed to be declining.pdf
The amphibian populations in Lake X have been observed to be declining in recent years.
Anthropogenic factors were suspected and an investigation was initiated to collect information in
the area around Lake X as well as similar ecosystems in other locations the state of New York. In
addition to Lake X, 30 other lakes were studied. Species abundance in the aquatic, sediment, and
terrestrial habitat were surveyed. Human activities around the areas of each lake were evaluated.
Chemical analyses of both environmental and biota samples were conducted and pathological
analyses were carried out on selected species within each site. The preliminary results are listed
below. Please examine the results and determine what kind of implications or preliminary
prediction/hypothesis you can make to identify the most probably reason for the decline of
amphibian populations in Lake X. Each subsequent line of evidence should be evaluated together
with all previous ones 1. (Example) Among the 30 lakes examined, decrease in amphibian
populations was only observed in 18 lakes that receives discharges from waste water treatment
plants. In addition to amphibians, decrease in fish populations was also reported in 15 of the 18
lakes. Chemical herbicides have been routinely applied in 17 of the 18 lakes for invasive aquatic
plant control and the chemicals are known to be toxic to fish. Their toxicity to amphibians is
unclear. In comparison, no decline in fish populations was observed in Lake X. History of
herbicide applications in Lake X is not available. There is no direct waste water discharge into
Lake X but one of the tributaries does receive waste water from a nearby town. Both the
herbicide and contaminants in the waste water are considered potential causes for the decline of
amphibians in these lakes. Since the fish in Lake X did not seem to have been affect, herbicide
may not have been used, or at least not as frequently, as the lakes with fish population declines.
2. Compared to lakes that neither receive waste water discharge nor herbicide treatment,
relatively fewer number of fish species were spotted in contaminated lakes. Species that are more
tolerant to environmental toxicants dominated the contaminated lakes. Similar patterns were
observed in sediment and terrestrial species in/around these lakes. 3. Amphibians in the 18
contaminated lakes are dominated by adult individuals compared to uncontaminated lakes, where
individuals of both adults and juveniles were observed. In Lake X, adults appeared healthy, and
their average bodyweight is slightly higher than those in the contaminated lakes. 4. Pathology
studies revealed that fish in all lakes that received herbicide treatment exhibit lesions similar to
those seen in fish exposed to herbicides under laboratory conditions. Adult amphibians in
contaminated lakes had significantly enlarged liver which is a general indicator for exposure to
toxicants. However, adult amphibians in Lake X did not exhibit any pat.
The amphibian populations in Lake X have been observed to be declining (1).pdf
The amphibian populations in Lake X have been observed to be declining in recent years.
Anthropogenic factors were suspected and an investigation was initiated to collect information in
the area around Lake X as well as similar ecosystems in other locations the state of New York. In
addition to Lake X, 30 other lakes were studied. Species abundance in the aquatic, sediment, and
terrestrial habitat were surveyed. Human activities around the areas of each lake were evaluated.
Chemical analyses of both environmental and biota samples were conducted and pathological
analyses were carried out on selected species within each site. The preliminary results are listed
below. Please examine the results and determine what kind of implications or preliminary
prediction/hypothesis you can make to identify the most probably reason for the decline of
amphibian populations in Lake X. Each subsequent line of evidence should be evaluated together
with all previous ones 1. (Example) Among the 30 lakes examined, decrease in amphibian
populations was only observed in 18 lakes that receives discharges from waste water treatment
plants. In addition to amphibians, decrease in fish populations was also reported in 15 of the 18
lakes. Chemical herbicides have been routinely applied in 17 of the 18 lakes for invasive aquatic
plant control and the chemicals are known to be toxic to fish. Their toxicity to amphibians is
unclear. In comparison, no decline in fish populations was observed in Lake X. History of
herbicide applications in Lake X is not available. There is no direct waste water discharge into
Lake X but one of the tributaries does receive waste water from a nearby town. Both the
herbicide and contaminants in the waste water are considered potential causes for the decline of
amphibians in these lakes. Since the fish in Lake X did not seem to have been affect, herbicide
may not have been used, or at least not as frequently, as the lakes with fish population declines.
2. Compared to lakes that neither receive waste water discharge nor herbicide treatment,
relatively fewer number of fish species were spotted in contaminated lakes. Species that are more
tolerant to environmental toxicants dominated the contaminated lakes. Similar patterns were
observed in sediment and terrestrial species in/around these lakes. 3. Amphibians in the 18
contaminated lakes are dominated by adult individuals compared to uncontaminated lakes, where
individuals of both adults and juveniles were observed. In Lake X, adults appeared healthy, and
their average bodyweight is slightly higher than those in the contaminated lakes. 4. Pathology
studies revealed that fish in all lakes that received herbicide treatment exhibit lesions similar to
those seen in fish exposed to herbicides under laboratory conditions. Adult amphibians in
contaminated lakes had significantly enlarged liver which is a general indicator for exposure to
toxicants. However, adult amphibians in Lake X did not exhibit any pat.
The amount of water in a bottle is approximately normally distributed.pdf
The amount of water in a bottle is approximately normally distributed with a mean of
2.20 L with a standard deviation of a 0.035 L if a sample of four bottles is selected what
is the probability that the sample mean amount contained less than 2.17 L?.
TB 06-16 The official unemployment rate- The official unemployment rat.pdf
TB 06-16 The official unemployment rate: The official unemployment rate: Multiple Choice
reveals people over 21 years of age who are currently discouraged and are not looking for a job.
is the percentage of the labour force which is unemployed. is the percentage of the labour force
which is working part-time. is the percentage of the total population which is not working..
The accompanying table describes results from groups of 8 births from.pdf
The document describes results from 8 births from 8 different sets of parents. It provides a probability distribution for the random variable x, which represents the number of girls among 8 children. The probability of getting exactly 1 girl in 8 births is 0.28125.
The 3 companies will be analyzed- Haier (founded in China)- Electrolux (2).pdf
The 3 companies will be analyzed: Haier (founded in China), Electrolux (founded in Sweden),
and Whirlpool (founded in USA). Each of these companies has several brand names, some of
which are geographically specialized. They are using three geographic areas: China, France, and
the United States..
The above figure shows Bobby's indifference map for juice and snacks-.pdf
The above figure shows Bobby's indifference map for juice and snacks. Also shown are three
budget lines resulting from different prices for snacks. As the price of snacks rises, Bobby's
utility
A) stays the same.
B) increases.
C) decreases.
D) might change, but there is not enough information to determine..
More from SeanmxeHardacrea (20)
The critical path is (letters)- A) The duration is (number)- A- The sl.pdf
The critical path is (letters)- A) The duration is (number)- A- The sl.pdf
The contribution format income statement for the month for a Corporati.pdf
The contribution format income statement for the month for a Corporati.pdf
The Corporation has provided the following contribution format income.pdf
The Corporation has provided the following contribution format income.pdf
The Charter protects certain rights that apply only to Canadian citize.pdf
The Charter protects certain rights that apply only to Canadian citize.pdf
The cell below has undergone DNA replication and is preparing to begin.pdf
The cell below has undergone DNA replication and is preparing to begin.pdf
The basic accounting equation cannot be restated as Assets + Liabiliti.pdf
The basic accounting equation cannot be restated as Assets + Liabiliti.pdf
The basic feature of collaboration is Distributing project tasks so th.pdf
The basic feature of collaboration is Distributing project tasks so th.pdf
The averopt tobin for larse-cap semestic seck funds over the thite yea.pdf
The averopt tobin for larse-cap semestic seck funds over the thite yea.pdf
The average score of all Canadians regarding their degree of worry abo.pdf
The average score of all Canadians regarding their degree of worry abo.pdf
The assembly division of Canterbury Watches- Inc- uses the FIFO method.pdf
The assembly division of Canterbury Watches- Inc- uses the FIFO method.pdf
The arrival of messages at a Web site can be described by a Poisson pr.pdf
The arrival of messages at a Web site can be described by a Poisson pr.pdf
the answers are 1-utilitarianism 2-respect for nature 3- animal right.pdf
the answers are 1-utilitarianism 2-respect for nature 3- animal right.pdf
the answers are 1-utilitarianism 2-respect for nature 3- animal rights.pdf
the answers are 1-utilitarianism 2-respect for nature 3- animal rights.pdf
The amphibian populations in Lake X have been observed to be declining.pdf
The amphibian populations in Lake X have been observed to be declining.pdf
The amphibian populations in Lake X have been observed to be declining (1).pdf
The amphibian populations in Lake X have been observed to be declining (1).pdf
The amount of water in a bottle is approximately normally distributed.pdf
The amount of water in a bottle is approximately normally distributed.pdf
TB 06-16 The official unemployment rate- The official unemployment rat.pdf
TB 06-16 The official unemployment rate- The official unemployment rat.pdf
The accompanying table describes results from groups of 8 births from.pdf
The accompanying table describes results from groups of 8 births from.pdf
The 3 companies will be analyzed- Haier (founded in China)- Electrolux (2).pdf
The 3 companies will be analyzed- Haier (founded in China)- Electrolux (2).pdf
The above figure shows Bobby's indifference map for juice and snacks-.pdf
The above figure shows Bobby's indifference map for juice and snacks-.pdf
Recently uploaded
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
مصحف أحرف الخلاف للقراء العشرةأعد أحرف الخلاف بالتلوين وصلا سمير بسيوني غفر الله له
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...Nguyen Thanh Tu Collection
https://app.box.com/s/tacvl9ekroe9hqupdnjruiypvm9rdaneA Visual Guide to 1 Samuel | A Tale of Two Hearts
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
Event Link:- https://meetups.mulesoft.com/events/details/mulesoft-mysore-presents-mule-event-processing-models/
Agenda
● What is event processing in MuleSoft?
● Types of event processing models in Mule 4
● Distinction between the reactive, parallel, blocking & non-blocking processing
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shivani Yasaswi - https://www.linkedin.com/in/shivaniyasaswi/
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
Practical manual for National Examination Council, Nigeria.
Contains guides on answering questions on the specimens provided
How to deliver Powerpoint Presentations.pptx
"How to make and deliver dynamic presentations by making it more interactive to captivate your audience attention"
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
Physical pharmaceutics notes for B.pharm students
Wound healing PPT
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Temple of Asclepius in Thrace. Excavation results
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"National Information Standards Organization (NISO)
This presentation was provided by Racquel Jemison, Ph.D., Christina MacLaughlin, Ph.D., and Paulomi Majumder. Ph.D., all of the American Chemical Society, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.Benner "Expanding Pathways to Publishing Careers"
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
Walmart Business+ and Spark Good for Nonprofits.pdf
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Recently uploaded (20)
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
REASIGNACION 2024 UGEL CHUPACA 2024 UGEL CHUPACA.pdf
REASIGNACION 2024 UGEL CHUPACA 2024 UGEL CHUPACA.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
The case to be discussed will be as follows- Ms- Marisela Sanchez is a.pdf
- 1. The case to be discussed will be as follows: Ms. Marisela Sanchez is a widowed 58-year-old Nicaraguan woman, who is an immigrant, and has lived in Miami for ten years. She lives in a second floor walk-up apartment with her daughter and son-in-law and their four children in Hialeah. Her son-in-law, who is the sole breadwinner, lost his job five months ago. They are two months behind in rent and can barely afford to pay for food and utilities. About a month ago, Ms. Sanchez's daughter found a job as a custodian in a daycare center. She was laid-off, though, after two weeks, for being constantly late to work due to lack of transportation. One of Ms. Sanchez's granddaughters, Leana, is 6 years old and was diagnosed with autism spectrum disorder. Though she is uninsured, she has benefitted from home therapy services in the past and is now experiencing problems with communication in the home and school settings. Ideally, the family would like to continue therapy services, but they can no longer afford them. Ms. Sanchez, also a month ago, suffered a stroke and was hospitalized for five days. Because she has no health insurance, she is worried about her hospital bill and is unsure where to pursue primary care followup. On discharge, the hospital social worker gave her a list of several community health centers and other programs in Miami-Dade County, but she cannot decide. Part of her concern is that she is undocumented. The family hears of a health fair in Hialeah and brings Ms. Sanchez to the event, hoping to get some advice. You are part of an interdisciplinary team of students staffing a health-screening booth. Your team notices that she is able to walk slowly with a wide- based quad cane. As she answers your questions, she lets you now that she has fallen twice since discharge, without significant injury, and informs you that she has diabetes and high blood pressure. She takes oral medications, but she is getting worried. She reports that she sometimes feels like food gets caught in her throat and sometimes coughs when she drinks. She tells you she does not check her blood sugars at home, because she does not feel comfortable pricking her finger. When you calculate her BMI, it is 33 . The objectives of the exercise are to: 1. Practice team dynamics through case work. 2. Identify the social determinants related to patient health. 3. Provide an opportunity for reflection on team processes that emerge from interdisciplinary casework. Student learning outcomes for the exercise are to: 1. Demonstrate effective team dynamics through casework. 2. Integrate social determinants of health into team-based approach. 3. Describe at least two components of group process demonstrated in the interdisciplinary case discussion you participated in.