Generalized Anxiety Disorder

/0 Comments/in /by

Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA-approved indications when referring to different medication classes used in the treatment of GAD.

To Prepare

  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history with GAD.

 

Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used.

Examples of acquired brain injury

/0 Comments/in /by

Provide two examples of acquired brain injury and two examples of how you would implement person-centred support to facilitate self-determination and choice.Describe one way you could facilitate discussion between the person requinny

support, their family and/or carer and the support worker.

student submitted image, transcription available

  • Chegg Logo

    Here’s the be

Cardiovascular conditions that may lead to heart failure

/0 Comments/in /by
Instructions
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1 ; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Mandated reporting fact sheet for health professionals

/0 Comments/in /by

Assignment Description:

Mandated Reporting

Develop a mandated reporting fact sheet for health professionals, a nurse/health ministry, or a community organization whose members are mandated providers in your state.

Identify the target-mandated provider group for which you are developing the fact sheet. Tailor the fact sheet to the group.
Feel free to incorporate feedback provided by your peers as part of the discussion topic response for this module.

The following specifications are required for this assignment:

  • Length: Begin with a title page and a short introduction to the reporting sheet.
  • Structure: Include a title page and reference page (if needed in APA style). Under a level heading, present the mandated reporting fact sheet. Close with a robust conclusion and reference page. References page with at least 3 references for resources utilized in the development of the fact sheet.
  • References: Use at minimum 3 for resources utilized in the development of the fact sheet in APA format.

Additional resources:

Access the Mandatory Reporters of Child Abuse and Neglect publication for an overview of reporting. Follow up with accessing your state website and review the mandatory reporting requirements.

Chief complaint of insomnia

/0 Comments/in /by

Reflect on the case study excerpt below and consider the therapy approaches to assess, diagnose, and treat the patient’s health needs.  Case: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:

Metformin 500mg BID
Januvia 100mg daily
Losartan 100mg daily
HCTZ 25mg daily
Sertraline 100mg daily
Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86

Assignment
Post a response to each of the following:

List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.

The Importance of effective communication in radiography and its impact on patients with long term illness Radiographers must possess effective communication skills to minimize any anxiety the patient may be experiencing and to provide the patient with the information that they need. What is communication in radiography? Written communication in radiography is primarily the use of investigation request cards and case notes. With the advent of a computerised imaging system there is an increasing reli

/0 Comments/in /by

The Importance of effective communication in radiography and its impact on patients with long term illness Radiographers must possess effective communication skills to minimize any anxiety the patient may be experiencing and to provide the patient with the information that they need.

What is communication in radiography?
Written communication in radiography is primarily the use of investigation request cards and case notes. With the advent of a computerised imaging system there is an increasing reli

Goals of psychodynamic therapy

/0 Comments/in /by
The main goals of psychodynamic therapy are to (1) enhance the client’s self-awareness and (2) foster understanding of the client’s thoughts, feelings, and beliefs in relation to their past experiences, especially his or her experiences as a child (Haggerty, 2016).
What is a dynamic approach in therapy?
Brief dynamic therapy is a time-efficient treatment in which the therapist maintains a focus on specific client issues and goals, all within a basic psychodynamic conceptual framework.

The development of assessment in counseling

/0 Comments/in /by
Identify one historical event or development and discuss ways it has impacted the development of assessment in counseling.
Distinguish between formal and informal assessment and explain how the historical event you selected might influence your use of formal and informal assessments in your future counseling practice.
Then, describe one way you might use informal assessments and one way you might use formal assessments in your future counseling practice.
Finally, identify two skills you currently possess and two skills you need to further develop related to assessment that would help you fully integrate formal and informal assessment into your future counseling practice.
Explain how you might further develop the skills you identified. Be specific and use examples to support your post.

How does Cognitive Approach Therapy impact Coaching Psychology

/0 Comments/in /by
How does Cognitive Approach Therapy impact Coaching Psychology within Diverse Cultures of a team?
Can CBT be used with diverse populations?
CBT has been adapted for various ethnic minority groups in the West and local populations in non-Western cultures through a series of steps and using mixed-methods research. Only minor adjustments are required in CBT.
Is CBT effective across cultures?
Cognitive–behavioral therapy (CBT) is a widely used and acceptable therapy for most mental health disorders, but explanations used in CBT are based on Western concepts and illness models. For reasons explained here, CBT remains the psychotherapeutic model of choice across cultures if adapted appropriately.

Describe the effect of oral language on decoding

/0 Comments/in /by

Describe the effect of oral language on decoding, reading comprehension, and written expression. In addition, describe communicative strategies that teachers can use to improve Raymond’s reading and written expression skills. The answer should include:

1. A discussion with examples about how oral language affects decoding, reading comprehension, and written expression.