Chief complaint of insomnia

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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

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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

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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

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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

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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

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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.

 

 

Why do you think our memory system is designed this way?

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Why do you think our memory system is designed this way? What are the advantages to being so forgetful and open to environmental influences? On the other hand, what would be the advantages and disadvantages of a system where you remembered everything perfectly?

If you could choose your own memory system design, which one would you choose? One that remembered everything, or one that remembered most things even though some of the things you “remember” may not be as they were, or perhaps never even happened at all.

Perhaps more importantly, is there anything you can do about it?

Why is memory so important to what it means to be a human being?
Memory has a fundamental role in life, reflecting the past as the past, and offering the possibility of reusing all past and present experiences, as well as helping to ensure continuity between what was and what was going to be.
How does memory impact society?
Our memories influence how we perceive the world around us, respond to new situations, perceive ourselves, and interact with others. Over our lives, we accumulate many different types of memories, from everyday routines to facts, subconscious behaviors, and even emotional patterns.

 

Explain how the emotional effects of illness may have influenced the mother’s behavior

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Explain how the emotional effects of illness may have influenced the mother’s behavior. As an allied health care provider, explain how you would respond to the mother if she made those comments to you, rather than to her son.

Explain how you would respond to the son while keeping in mind his emotional and esteem needs.

Understandably you may be very upset by many aspects of the illness. This distress may lead to you feeling angry and irritable. You may feel resentful that you or someone you care for is seriously ill while other people are well.

How does illness affect emotional development?
Increased physical symptoms can have a negative effect on a child’s emotional health. Chronic illnesses can interfere with children’s happiness and how they feel about themselves. When children are distressed and unhappy, their illness may be harder to control.

 

Sigmund Freud’s contributions to psychology

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What were Sigmund Freud’s contributions to psychology and how has it evolved to today? Freud was the founder of psychoanalysis and introduced influential theories such as his ideas of the conscious and unconscious; the id, ego, and superego; dream interpretation; and psychosexual development.

How influential is Freud in today’s society?
Others developed theories that reflected their own spin on psychoanalysis, but Freud’s theory of unconscious dynamics was widely accepted. Today, a concept of the unconscious is embedded in almost every model of human behavior and in every profession from psychiatry to marketing, from coaching to teaching.
What is the contribution of Sigmund Freud to human development?
Freud contributed to personality psychology by explaining how the right balance between something called the id, ego, and superego can lead to a healthy personality. An imbalance between the three will only lead to maladaptive personalities.

Algorithmic filtering and personalization

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Algorithmic filtering and personalization (e.g., targeted advertising, recommender systems, customized news feeds on social media) are helpful tools that allow people to navigate overwhelming information online. However, they are not without problems. Which of the following is not associated with algorithmic filtering and personalization?
Increased exposure to diverse perspectivesCreation of “filter bubbles”, where an individual’s perception of reality becomes skewed.

Amplification of the confirmation bias

Increased polarization

 

please give me the correct answer with explanation. Also give me the conclusion as it is mandatory.

What is algorithmic filtering?
What is the main source of algorithmic bias?
The short answer: People write the algorithms, people choose the data used by algorithms and people decide how to apply the results of the algorithms. Without diverse teams and rigorous testing, it can be too easy for people to let subtle, unconscious biases enter, which AI then automates and perpetuates.

Definition: algorithmic filter

An evaluation of data based on some formula. Essentially, all filters rely on some algorithm; however, the term typically refers to social media and search engines, wherein users are delivered ads, videos and news stories that appeal to their lifestyle and principles. See filter.