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November 7, 2024

Hallucinatory Events Case Study

IDENTIFICATION: The patient is a 78-year-old female in general good health living in an assisted living facility. She is a retired executive secretary.

CHIEF COMPLAINT: “Every once in awhile, I see my dead mother laying on the bed, I get scared and run out of the room and get a staff member to come in here. I’m so embarrassed because nothing is in the bed when I return. This happens a lot and sometimes I see people I never met before standing in my kitchen. I get scared, and they disappear.”

HISTORY OF CHIEF COMPLAINT: The patient was referred for a psychiatric evaluation following the incidents described in the Chief Complaint, which began 3 months ago with abrupt onset. These incidents did not occur while sleeping or waking up from sleep.

PAST PSYCHIATRIC HISTORY: No history of mental illness. Denied any symptoms of mental illness other than the information described earlier.

MEDICAL HISTORY: Her vital signs were normal following the hallucinatory events, that is, pulse 90, BP 130/88. A medical consultation was ordered. The primary care provider ordered an electroencephalogram (EEG)/MRI of the brain to r/o seizures, brain tumors, or encephalopathy, and the results were within normal limits (WNLs) other than periventricular white matter changes associated with age. Comprehensive metabolic panel (CMP), urinalysis (UA), thyroid-stimulating hormone (TSH), triiodothyronine (T³), thyroxine (T⁴), B¹², RBC folate, RPR, and complete blood count (CBC) were all normal. A 48-hour Holter monitor was also ordered. Immediately before her hallucinatory events, distinct episodes of bradycardia of 30 beats/minutes were identified. This cardiac insufficiency would likely contribute to hypoxia. Due to the bradycardia identified with the 48-hour monitor, a pacemaker was inserted. Taking cholesterol medication atorvastatin once a day for several years with normal cholesterol for past 2 years. Taking aspirin 81 mg daily.Hallucinatory Events Case Study

HISTORY OF DRUG OR ALCOHOL ABUSE: Denied.

FAMILY HISTORY: Enjoyed living in the assisted living for the past 3 years, had many friends, family visited often, she went to church every Sunday and was well liked.

PERSONAL HISTORY

Perinatal: No known complications.

Childhood: Developmental milestones achieved WNL.

Adolescence: She was on the honor roll in high school and attended 2 years of college for secretarial training with an all A average.Hallucinatory Events Case Study

Adulthood: She worked as an executive secretary for an auto company for 30 years until her retirement 10 years ago. After the death of her husband of 50 years, she moved to the assisted living facility about 5 years ago. She said that taking care of the house had become too much of a responsibility for her. She has three children and five grandchildren and is “close” with all of them. They visit often. Her apartment at the assisted living facility is neat and clean and well furnished.

TRAUMA/ABUSE HISTORY: Denied.

MENTAL STATUS EXAMINATION

Appearance: Well dressed, attractive, with weight in proportion to height. She smiles easily.

Behavior and psychomotor activity: Cooperative. Good eye contact. No abnormal movements.

Consciousness

Normal. Alert.

Orientation

Oriented to person, place and time.

Memory

No indications of dementia, mini-mental state examination normal,

up-to-date on current events with rapid response time to questions asked.Hallucinatory Events Case Study

No indication of even mild neurocognitive decline.

Concentration and attention	Normal. No distractibility.
Abstract thought	Normal.
Speech and language	Normal rate and volume. Clear. Full vocabulary.
Perceptions	No abnormal perceptions during the interview but describes visual hallucinations that occur at intervals when she is wide awake in the morning, evening or midday. They frighten her and she seeks staff help.
Thought processes	Organized and logical.
Thought content	No unusual content other than fear of hallucinations recurring.
Suicidality or homicidality	None.
Mood	Euthymic.
Affect	Full range and congruent to mood.
Impulse control	Good.
Judgment	Good.
Insight	Good, aware that hallucinations cannot be real.
Reliability	Seems like a reliable historian.

Post directly into the discussion board. Do not add as an attachment.

Formulating the Diagnosis

Which diagnosis (or diagnoses) should be considered? (Provide at least 2 Dx.),
What is the rationale for each diagnosis?,
What test or tools should be considered to help identify the correct diagnosis?,
What differential diagnoses should be considered?,

Formulating the Treatment Strategy

What treatment would you prescribe and what is the rationale?,

- Pharmacology

- Diagnostic Tests

- Referrals

- Psychoeducation

What standard guidelines would you use to treat or assess this client?

Provide references to support your answers. (minimum of 3)

You must start a thread before you can read and reply to other threads

November 7, 2024

Vulnerable Population Nursing Task

By AssignmentHelp Blog

Vulnerable Population Nursing Task

4 Apa 7th edition references

1. What are the key factors preventing vulnerable populations from accessing healthcare, and what can be done to remove these barrier

2. How can communities become more engaged in advocating for policies that support vulnerable populations?

3. In what ways can the healthcare system work with other sectors (e.g., housing, legal services) to address the needs of these populations comprehensively?

4. How can public awareness campaigns and education be used to reduce the stigma associated with vulnerable populations and encourage broader community support for their needs?4 apa 7th edition references

1. What are the key factors preventing vulnerable populations from accessing healthcare, and what can be done to remove these barrier

2. How can communities become more engaged in advocating for policies that support vulnerable populations?

3. In what ways can the healthcare system work with other sectors (e.g., housing, legal services) to address the needs of these populations comprehensively?

Vulnerable Population Nursing Task

1. What are the key factors preventing vulnerable populations from accessing healthcare and what can be done to remove these barrier

2. How can communities become more engaged in advocating for policies that support vulnerable populations?

3. In what ways can the healthcare system work with other sectors (e.g., housing, legal services) to address the needs of these populations comprehensively?

4. How can public awareness campaigns and education be used to reduce the stigma associated with vulnerable populations and encourage broader community support for their needs?

Vulnerable Population Nursing Task

1. What are the key factors preventing vulnerable populations from accessing healthcare, and what can be done to remove these barrier

2. How can communities become more engaged in advocating for policies that support vulnerable populations?

3. In what ways can the healthcare system work with other sectors (e.g., housing, legal services) to address the needs of these populations comprehensively?

November 7, 2024

Social Science Task Questions

By AssignmentHelp Blog

Social Science Task Questions

2-3 pages

In what ways does our society create economic inequality based on gender? Using information from the video and your textbook, discuss two obstacles women face based on economic inequality.
Provide specific details and examples, including data.
What are two potential solutions to facing these obstacles?
Provide specific details.
Include a reflection on the topic.

Did your perspective on this topic change as you learned more and completed the assignment? Provide details.
What information or data for this assignment did you find most interesting? Provide details.2-3 pages

Social Science Task Questions

In what ways does our society create economic inequality based on gender? Using information from the video and your textbook discuss two obstacles women face based on economic inequality.
Provide specific details and examples, including data.
What are two potential solutions to facing these obstacles?
Provide specific details.
Include a reflection on the topic.

November 7, 2024

Criminal Law Case Study Task

By AssignmentHelp Blog

Criminal Law Case Study Task
Review chapters 6 and 7 of your textbook.

Scenario
(Continued from Week 3) . . . You just received confirmation from the coroner of your belief that the death of Mathew R. Brewster is indeed a homicide – it is no big revelation as there was no weapon found at the crime scene. During the initial investigation, you were only able to interview tenants of the building who mentioned seeing the victim and some unknown visitors, but none of them were home during the suspected time of the murder as determined by the coroner.

Fortunately, persons of interest have been identified. How do you uncover more information inclusive of interviewing these persons of interest?

Gathering Information
You continue gathering information by revisiting the crime scene and utilizing available resources commonly used by the police.

Criminal Law Case Study Task

Interview
A potential suspect,19-year-old Vanessa Montross, has been identified and agreed to be interviewed at the station… which interview model will you employ? What questions will you ask?

Interrogation
Based on the answers gained from your initial interview and other information, you feel that Ms. Montross should now be interrogated. She has become defensive and wary of the process – at times belligerent, but she has not asked for a lawyer and continues to cooperate. You need to decide how you are going to legally conduct the interrogation. What approach is likely to be the most effective in garnering further information? Does the suspect need to be Mirandized? Why or why not?

Arrest
Imagine, that days later you go to Ms. Montross’ home to ask her some additional questions. She answers the door and steps outside to talk – leaving the door open behind her. The discussion escalates and soon she is fed up with talking to you. In a fit, she pushes one of your fellow officers. You respond by arresting her. Your gut tells you that she is the killer and there is damning evidence of it to be found in her house. Can you legally enter and search the house?

Criminal Law Case Study Task

Instructions
Consider the developing scenario and do the following in 3-4 pages:

Gathering Information
Describe the next steps that you would take on a scene that would be effective in identifying additional witnesses and evidence. Include police resources that should be consulted or utilized to further the investigation at this point.
Interview
Choose and justify an appropriate interview model (from the course text) and pose 5 revealing questions that you would ask the suspect that directly reflect it.
Interrogation
Explain 2 circumstances under which this suspect will need to be Mirandized.
Arrest
Describe the details of a specific circumstance under which a legal search of the premises may be conducted.
This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the library site for all support. Check with your professor for any additional instructions.

The specific course learning outcomes associated with this assignment are:

Conduct criminal investigation activities according to established guidelines and procedures or best practices.
Analyze legal elements and issues associated with criminal investigation activities. Use APA referencing style.

November 7, 2024

URL Psychology Questions

By AssignmentHelp Blog

URL Psychology Questions

Chapter 11: Find a URL that illustrates practical real-world uses for Skinner’s operant conditioning. And discuss this question: If you could change the behavior of your significant other without them knowing you were changing it, would you? What behavior? This should be fun.

Chapter 13: Tough chapter. “To sleep, perchance to dream.” Psychoanalysis is very involved in what Freud called ‘dreamwork’. But this is not the only theory of dreams. For this URL, find a different theory of dreams. And find something with some legitimate research support, nothing new age Why do you think we dream? Chapter 11: Find a URL that illustrates practical, real-world uses for Skinner’s operant conditioning. And discuss this question: If you could change the behavior of your significant other without them knowing you were changing it, would you? What behavior? This should be fun.

URL Psychology Questions

November 7, 2024

Clinical Experience Task Questions

By AssignmentHelp Blog

Clinical Experience Task Questions

Describe the Electronical Medical Record system that is used on your clinical practice site.

What are the Pros and cons you have found.
Is E-prescription incorporated on the EMH?
Does it have adaptive learning?
Does it have Incorporated patient doorway?
Is there Flexibility with the absence of internet connectivity?
Does it have effective documentation and Image management capability.
Support and share your personal experience so all of us can learn.

Clinical Experience Task Questions

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources
Describe the Electronical Medical Record system that is used on your clinical practice site.

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Describe the Electronical Medical Record system that is used on your clinical practice site.

Clinical Experience Task Questions

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Use APA referencing style.

November 7, 2024

Advance FNP Lecture Discussion

By AssignmentHelp Blog

Advance FNP Lecture Discussion

The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not had it checked “in a while”.

The man appears to be in some type of distress and experiencing pain. The man walks slowly, using a guarded manner, and he appears diaphoretic. His mucous membranes also appear pale. The patient’s blood pressure is 210/98. The patient reports that he has not been diagnosed with hypertension previously. The patient reveals that he has severe abdominal pain that is radiating to his back. The nurse finds a heart rate of 110, respirations 30 with shallow inspirations, and temperature 102.2°F. The patient’s skin is cool and clammy.

Advance FNP Lecture Discussion

The patient reports a history of alcoholism, homelessness, and lack of access to health care. He says that the symptoms have been present and worsening over 3 days. The man says he thinks he might have pancreatitis again, which he had “a couple of years ago”. The NP recommends that the man should be seen at a hospital for his condition, but the patient says he does not have health insurance, so he does not want to go.

The NP proceeds with a physical examination, finding severe abdominal pain in the epigastric area, yellowed sclera, no abdominal distention, and hypoactive bowel sounds. The clinic is equipped with basic materials but no means to conduct lab or radiologic testing. Discuss the following:

Advance FNP Lecture Discussion

Considering the patient’s homelessness and lack of insurance what action should the practitioner take?
When the patient asks why his condition cannot be managed outside of the hospital how should the practitioner respond?
When the patient arrives at the hospital for further diagnostic work-up what tests will likely be performed to evaluate the patient’s condition?
How will the severity of the pancreatitis be assessed when the patient is hospitalized?
How should the patient’s condition be managed when hospitalized?
What patient education should be included after the pancreatitis is resolved?
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. Use APA referencing style.

November 7, 2024

Advance FNP Clinical Discussion

By AssignmentHelp Blog

Advance FNP Clinical Discussion

Describe your clinical experience for this week.

Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can be beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.

Advance FNP Clinical Discussion
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Describe your clinical experience for this week.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Advance FNP Clinical Discussion

Describe your clinical experience for this week.

Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient detailing the signs and symptoms (S&S) assessment plan of care and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can be beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. Use APA referencing style.

November 7, 2024

Education Inclusive Practices Homework

By AssignmentHelp Blog

Education Inclusive Practices Homework

Who can assist this assignment?

In your Performance Task Assessment, you will be thinking about 2-year-old Deegan who is featured in the videos to create a PowerPoint presentation with narration that explains the importance of supporting access and participation for every child in high-quality inclusive settings as well as how and why embedding interventions into children’s daily activities and lives provides a critical strategy for ensuring development and learning.

Fostering High-Quality Inclusive Practices at Scribbles Early Learning Program

As the director of Scribbles Early Learning Program, you are committed to ensuring the development and learning of each and every child within your program. Scribbles is an inclusive program, and you are well aware of the opportunities high-quality inclusive practices provide for young children and families. When a new child, Deegan, enrolled in your preschool program, his family gave you a video that features an interview with his mother as well as information about how Deegan’s development and learning was supported in the infant-toddler setting he previously attended. Your goal is to educate everyone at Scribbles about how Deegan’s development and learning can be supported at Scribbles.

Education Inclusive Practices Homework

To complete this Assessment:

Watch the video Deegan’s Story. Take careful notes on Deegan’s development as presented in the video, including areas of current challenges and strengths. Note strategies used by his developmental therapist, as well as goals identified throughout the video.

Based on your notes from viewing Deegan’s Story and your knowledge of the importance of supporting access and participation through embedded interventions, uses the PowerPoint Template to create a PowerPoint presentation that will help the Scribbles staff better understand Deegan and think more about supporting access and participation in inclusive early childhood settings, and embedding evidence-based practices that align with individual goals for children in their everyday life at school.

Your presentation should include both talking points on the slides and narration. In your presentation, do the following:

Education Inclusive Practices Homework

Explain the importance of supporting access and participation for every child in high-quality inclusive settings. (2–3 paragraphs)
Explain at least three of Deegan’s current goals (mentioned in the video) that support his development and learning and how they align with the frameworks of access and participation. (2–3 paragraphs)
Explain how and why embedding interventions into children’s daily activities and lives provides a critical strategy for ensuring development and learning. (1–2 paragraphs)
Explain four key considerations related to embedding evidence-based practices across Deegan’s day that classroom staff will need to be mindful of in order to help Deegan meet the goals you chose to highlight. (2–3 paragraphs)
https://www.youtube.com/watch?v=yJIeZQlBYMc&feature=youtu.be. Use APA referencing style.

November 5, 2024

Step of the Decision-making Process

By Academic Wizard Blog

Step of the Decision-making Process

As the Vice President of Human Resources at Wynn Regional Medical Center (WRMC), you are responsible for employee training and continuing education. The Human Resources Department has decided to launch a series of leadership workshops. You are tasked with facilitating a workshop on effective problem-solving and making wise decisions. You feel that distributing a handout to all attendees will allow them to refer back to the information as needed.

Instructions

Create a diagram or chart in a Word document that discusses each step of the decision-making process, using examples. Include the following information:

Include the importance of each
Explain if it is mandatory to follow each steps in the exact order,

Instructions

Create a diagram or chart in a Word document that discusses each step of the decision-making process, using examples. Include the following information:

Include a brief description of each
Include the importance
Explain if it is mandatory to follow each steps in the exact order

Instructions

Create a diagram or chart in a Word document that discusses each step of the decision-making process, using examples. Include the following information:

Include a brief description of each step of the decision-making process
Include the importance of each step of the decision-making process
Explain if it is mandatory to follow each steps in the exact order

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