Cognitive therapy and Behavioral therapy

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?

Scheduled dose of Intravenous furosemide (Lasix) to a client with heart failure

63- In preparing to administer a scheduled dose of intravenous furosemide (Lasix) to a client with heart failure, the nurse notes that the client’s B-Type Naturetic peptide (BNP) is elevated. What action should the nurse take?

a. Measure the client’s oxygen saturation before taking further action

b, Administer a PRN does of nitroglycerin (Nitrostat)

c.Administer the dose of furosemide as scheduled

d. Hold the dose of furosemide until contacting the healthcare provider

Which drugs are included in First-line therapy?

Which drugs are included in first-line therapy?. Would directly observed therapy be appropriate for this patient? Why or why not?. What are the teaching priorities for this patient?

The patient is a 48-year-old man who is being released from prison after 15 years of incarceration. On his final
physical, he is found to be 20 pounds underweight for his height and has a productive cough. He smokes three packs
of cigarettes daily and is exposed to a great deal of secondhand smoke in the prison environment. On release, he is
going to live with his 70-year-old aunt. A tuberculin skin test injected 3 days ago shows a 12 mm area of induration
around the injection site. His records indicate that his last skin test, performed 18 months ago, did not result in any
reaction. After other tests confirm that he has active TB, he is started on first-line anti-tuberculosis therapy drugs.

Person-centered services to people with disability with complex needs

Provide person-centered services to people with disability with complex needs

 

Part A Questions

Question 1The term disability includes:

  • Impairments – problems in body function or structure
  • Activity limitations – difficulty in executing activities
  • Participation restrictions – problems an individual may experience in involvement in lifesituations

http://www.aihw.gov.au/disability/technical-definitions-of-disability/

The definition of multiple and complex needs implies both:

  • Breadth of need – multiple needs that are interrelated or interconnected
  • Depth of need – profound, severe, serious or intense needs

(Refer to readings – Rankin and Regan 2004)

The combination of these two descriptions will give you a basis for this assessment.

Write a referenced reflection on when a person with disability would be regarded as having complex needs. In this reflection, you will need to demonstrate your understanding of complex need by giving two (2) examples and explanations of why these needs are complex and not basic.

AnswerReflection

 

Example 1
Example 2
References

 

Question 2When managing individualised care plans for a client with complex needs.

  1. Explain the individual approach/process of person-centred care needs.
  2. Explain the importance of consulting the individual.

(refer to readings – Support planning resource kit)

Answer 

 

 

Question 3Explain how goals are set for a person with complex needs
Answer

 

 

Question 4What is the role of the family in the process of managing the individual’s plan.
Answer

 

Question 5Explain how carers or other people relevant to the individual should be incorporated into the process of managing the individual plan.
Answer

 

Question 6
  1. List the types of community services that could be included for each of the following:
    • Aboriginal client who is deaf
    • Bipolar with developmental delay
  2. Explain why you have selected these community services

Please note: Community services should be in your local area.

AnswerAboriginal client who is deaf – community services

 

Explanation of selection

 

Bipolar with developmental delay – community services

 

Explanation of selection

 

 

Question 7When managing individualised plans, what type of organisational procedures may need to be incorporated?
Answer

 

Question 8Explain formal assessment and it use and application
Answer
Question 9Explain informal assessments and the reasons for its use
Answer
Question 11Fill this table to demonstrate your understanding of the impacts of various types of disabilities
ExampleCause of disabilityImpact on body systemsSupport Strategies
Physical
Social
Nutritional / dietetic
Behavioural Issues

 

Question 12Explain the process for

  1. coordinating the delivery of individual support plans
  2. monitoring the delivery of individual support plans
  3. evaluating the current delivery of individual support plans
  4. reviewing the delivery of individual support plans
Answera)
b)
c)
d)

 

Question 13Feedback is intrinsic to the process of managing an individual plan. This will come from various sources. Explain how feedback from the following will mean adjusting the plan.

  1. Stakeholders
  2. Person
Answera)
b)

 

Question 14Feedback from various stakeholders has meant that their needs to be an adjustment to the plan. How would you undertake adjustments ensuring that you follow organisational guidelines?
a) Stakeholders
b) Person
Answera)
b)

 

A physician with a Private practice

Nursing There is a major difference between a physician with a private practice and a physician working for a group health care system. For the following questions provide a short paragraph in response. 1. Does a physician group practice provide malpractice insurance or does the physician?

2. If a physician is sued, does the group practice provide an attorney? 3. If a physician decides to leave the group practice, are they still covered under the physician group insurance?

4. Does the group malpractice cover all of the liability if the physician is sued?

5. If the physician is working with a small group of physicians within a practice, is it beneficial for the physician to have extra personal coverage? (MINIMUM 400 WORDS AND PLEASE DONT POST PICTURES FOR ANSWER THANK YOU)

Acute MI. Signs and symptoms

Acute MI. Signs and symptoms :S/S: Shortness of breath, Chest pain, Fever formulate at least one different, primary care differential diagnosis as well as a lab and radiology (as applies) workup for that differential.  Your differential and diagnostic workup and treatment must be supported by peer-reviewed, recent references and resources pointing to best practices. There must be a minimum of three references per differential.

Paramedic Queensland (Work with diverse people)

Paramedic Queensland (Work with diverse people)Q1.  Identify and document information related to your personal culture and background. (You do not have to reveal any information that you feel is too personal) For example: What areas of your ‘upbringing or childhood’ may have had an impact on your cultural bias, inclusivity or diversity approaches, what were the key influences when you were growing up or through your adult years, what generational bias might be evident.

What is your nationality, belief systems, the environment: e.g. geographical or social or economic background. Think about what has influenced your current cultural beliefs.

 

Q2. Who are in your circle of close friends and associates? For example: are they all work colleagues, mainly family members, are you part of a cultural group (e.g. Indigenous Australian Tribe or Clan) are you part of an alternative sub culture, active in religious/spiritual environment, what are the generational or general beliefs of those in your circle of influence, are they from cross cultural backgrounds.

 

Q3. Consider how do you treat all persons equally and/or inclusively, regardless and nevertheless, are there areas may need attention? For example: consider if do you apply equality across all generations, do you treat religious believers differently or vice versa, is you attitude and treatment toward all one of equality toward the different subcultures. Consider the homeless, unemployed, single parents, managers, addicts, financially privileged, obese, Muslims, Chinese, social outcasts etc. identify areas you may struggle with.

 

Q4. How do you ensure you are ‘inclusive’ in the workplace, across workplace activity and at workplace functions? For example: are you aware of workplace policies, do you respect and interact with all work colleagues, do you include all persons in your interactions in the workplace Do you participate in workplace social activities?

 

Q5. How does your family members/partner/siblings/offspring respect and accept different cultures and or social groups and exhibit inclusivity and diversity?

 

Q6. What general understanding of cultures and sub cultural differences do you have? e.g. nationalities, language, religions, gender/age or subcultures for instance as long term unemployed, single parents, the homeless or alternative groups like bikies, gamers, hippies, LGBT?

 

Q7. How does your belief system (or religious/spiritual beliefs) impact on the workplace and your interaction and expectations of others?

 

Q8.Identify and discuss you understanding of equity, diversity and discrimination legislations and workplace policies, what do expect a workplace to have in place? How does your understanding translate into your work role?

 

Q9. How do you communicate effectively both verbally and non-verbally to build rapport, mutual trust and maintain inclusive workplace relationships?

 

Q10.How do you personally manage conflict situations relating to diversity and inclusivity? Do you have a good degree of competence in managing conflict situations and addressing diversity issues in the workplace, Why?

 

Q11. What is your understanding of Emotional intelligence and how do you apply and balance ’emotional intelligence’ related to workplace relationships and situations?

 

Q12.Now you have answered the above note anything else related to your beliefs and capacity to effectively apply diversity and inclusivity principles in the workplace, specifically that may assist you in developing a SWOT analysis and Diversity Action Plan for this practical assessment activity.

 

Q13. SWOT Analysis Development Based on your colleagues’ feedback and your personal reflection responses, action the following Using the SWOT Template provided at the end of this document or via the Q Paramedical module develop a SWOT Analysis indicative of your Strengths, Weaknesses, Opportunities and Threats that reflect the feedback from colleagues and your personal reflective activity, this SWOT will be used to develop your Personal Diversity Action Plan

History of  Right upper quadrant pain

DC is a 46-year-old female who presents with a 24-hour history of  Right upper quadrant pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on the instance of vomiting before the presentation.

PMH:                                                              Vitals: 

HTN                                                                Temp:              98.8oF

Type II DM                                                     Wt:                  202 lbs

Gout                                                                Ht:                   5’8″

DVT – Caused by oral BCPs                          BP:                  136/82

HR:                 82 bpm

Current Medications:                                Notable Labs:

Lisinopril 10 mg daily                                   WBC:                          13,000/mm3

HCTZ 25 mg daily                                        Total bilirubin:           0.8 mg/dL

Allopurinol 100 mg daily                               Direct bilirubin:          0.6 mg/dL

Multivitamin daily                                          Alk Phos:                    100 U/L

                                                                     AST:                           45 U/L

                                                                      ALT:                           30 U/L

Allergies:

  • Latex
  • Codeine
  • Amoxicillin

PE:

  • Eyes: EOMI
  • HENT: Normal
  • GI: non-distended, minimal tenderness
  • Skin: warm and dry
  • Neuro: Alert and Oriented
  • Psych: appropriate mood

 

Question

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples

Funding from the Board of Directors for an investment of an electronic health record

For this assignment, you are requesting funding from the Board of Directors for an investment of an Electronic health record (EHR) system. Create one summary, on a Word document, which delivers each of the 4 parts of this assignment. When combined this summary should support your funding request, by analyzing the impact a new EHR would have on the hospitals revenue and reimbursement, on data collection, operations, and relationships both internal and external.

Assignment Requirements

  • Please complete all parts in a Microsoft Word document.
  • Quoting should be less than 10% of the entire paper. Paraphrasing is necessary.
  • Students must cite and reference at least 3 credible sources from the Library.
PartCompetency AssessedInstructions
1Apply principles of healthcare finance for revenue management.Task: Demonstrate the principles of health care finance for revenue management through the intended application of cost reporting and variances. Create a summary which covers the pros of investing in a new EHR. Include in your summary how the EHR will address topics of cost reporting and the variances seen currently.
2Implement processes for revenue cycle management and reporting.Task: The Board of Directors will need to consider the implications of adopting a new EHR system on systems related to RCM and reporting. Use the information researched in unit 8 assignment and summarize how the three considerations you researched relate to the overall process of RCM.
3Identify severity of illness and its impact on healthcare payment systems.Task: As part of your analysis on the implications of a new EHR system on other information systems, analyze the relationship between data quality within a new EHR and severity of illness. Identify the purpose and use of severity of illness based on information within the health record. Conclude this section of your summary by associating severity of illness and health care payment systems, integrating case-mix and CAC systems.
4Identify the different types of organizations, services, and personnel and their interrelationships across the health care delivery system.Task: Funding request summaries often become available to the general public–either on its own or when combined into another report. Identify and discuss the connections among the different types of organizations, services, and personnel–including their interrelationships across the health care delivery system. To do this, analyze the implications of a new EHR system with both internal and external organizations.

An African American child Suffering from depression

Examine case study 5: An African American child suffering from depression. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetics and pharmacodynamics processes.

-Briefly explain and summarize the case for this assignment. be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1

-which decision did you select?

-Why did you select this decision? be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

-What were you hoping to achieve by making this decision? Support your response with evidence and references to the learning resources (including primary literature).

-Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

-Why did you not select the other options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

-What were you hoping to achieve by making this decision? Support your response with evidence and references to the learning resources (including the primary literature).

-Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3

-Why did you select this decision? be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

-Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

-What were you hoping to achieve by making this decision? Support your response with evidence and references to the learning resources (including the primary literature).

-Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.