Ellen is making progress, so she and Deanna add on new assignments, in which Ellen will also verbalize and challenge her feelings with appropriate thoughts. When Deanna is invited to present a paper about her treatment of Ellen for an upcoming conference, the form she is filling out asked her to characterize her topic as cognitive therapy and behavioral therapy, or “other.”

She will explain to a trusted friend what she is trying to do and then make a plan in which she and the friend choose a light, comfortable friendly touch, such as nudging each other while teasing, and progress to squeezing each other’s hand at some point in the conversation, and hugging hello and good-bye.

During this time, Ellen now also keeps a journal about how she feels before and after each brief encounter. She also talks first with Deanna and later with her supportive friend about how this feels as she engages in light, friendly touching over time.

What is the first option Deanna described—the one that Ellen rejected?

(Naturally, there is a blank beside “other” to indicate the appropriate category.) How would you categorize her treatment sessions with Ellen? What should Deanna put on the form for the conference? Why?

Cindy lives with her mother and two siblings, 6-year-old Roger, and 12-year-old Betty. Her father died in a car accident a few years ago. Her mother works as a receptionist in a law office. Her family is now at the hospital. Cindy undergoes an open reduction and internal fixation of tibial fracture. She has been in the post-anesthesia unit for approximately 45 minutes. As she arouses from sleep, she begins to moan and call for her mother, “I want my mom! Where is she?”.

Cindy Lizzo is a 10-year-old who was playing at the playground at school and fell from the monkey bars.  She held her left leg and began to scream uncontrollably. EMS and her mother were called. She was taken to the local hospital.

Her vital signs are “HR: 115 beats/minute; T: 37.4 C oral; BP: 122/74 mm Hg; RR: 25 breaths/minute with oxygen saturation of 94% on room air

1. What signs indicate that Cindy may be in pain?

2. What are the effects of hospitalization for Cindy and her family? Consider implementing atraumatic/trauma-informed care.

3. What pharmacologic and non-pharmacologic therapies would you expect to be used to manage Cindy’s pain? What are the implications of unmanaged pain?

4.As Cindy’s primary nurse what assessments and interv

Analyze the impact of healthcare technology of it and the advantages and disadvantages of specific technologies, including research studies that present opposing views. Also, identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied to alcoholism.

Mental Status Examination (MSE) is a critical neurological and psychiatric practice diagnostic tool.

case study

Mr Fred Robinson is a 24-year-old man from Derby (2392 km from Perth) in the Kimberley Region of Western Australia. He has a supportive family consisting of his father, mother, three brothers, and friends. Fred is usually presented well. when found, he is dishevelled, unwashed, wearing one shoe, a woollen jumper, beany, and boardshorts.

The police escorted him to the local public hospital after he was observed muttering to himself and pacing near the railing of a bridge next to the railway yard. They found a bag of ripped clothing and papers, a bible, a wallet, and an unlabeled medicine bottle containing numerous coloured tablets near him.

Initially, Fred was uncooperative when questioned by the police, and he accused them of trying to take thoughts from his head. He subsequently became aggressive and displayed violent behaviour by attempting to punch a police officer and shouting at the others. He was restless, overactive, singing loudly, and it was difficult to calm him.

Following scrutiny of his bag, the hospital staff contacted Fred’s parents and informed them of his whereabouts. They reported that Fred had been missing for five days, and they feared for his safety as he recently revealed to them that he had been hearing voices telling him to jump from the bridge that was located near the town.

Following examination by a doctor at the hospital, he was sedated and restrained and referred via the Royal Flying Doctor Service, with a nurse and police escort for admission to a medium-security ward at an ‘approved hospital’ in Perth.

Based on the above case scenario, address the following questions:

An introductory paragraph Presents a brief overview of the main presenting issues outlined in the case scenario. Briefly describe what the psycho-social issues pertaining to this client are that need to be taken into account by the nurses to ensure that Fred receives the most therapeutic care and outcome. In your answer, you need to consider issues of safety, the consumer (Fred) focus, and self-efficacy.

MSE: Gather the available information (evidence) from the case scenario, and document the client’s Mental State Examination in the form of progress notes (medical record) under the appropriate MSE headings (Present your information in the MSE format using the provided sequencing).

Explain why the MSE is important in capturing a ‘picture’ of the patient at the time of the assessment. Provide a provisional diagnose(s) that could be made (based on the MSE) as to Fred’s possible presenting condition (s) in the way of a critical discussion.

Risk Assessment: Based on your MSE of Fred’s presentation (in Derby) in the above case scenario, clearly list and briefly describe THREE potential risks (in order of priority) that Fred is likely to pose over the next 24 hours when admitted to the ‘authorized hospital’ in Perth.

Describe Fred’s management plan based on your identified (3) risks within the 24 hours in the approved hospital in Perth.

Conclusion: Effectively and comprehensively summarises main points within the report – highlighting key areas.