She tells the counsellor that the effects of these drugs is beginning to diminish and that she feels like she has to try something harder like heroin, to gain the same effect. That week the counsellor receives a call from Amy’s parents wanting to know what is going on with their daughter. Stakeholders Though the counsellor and Amy would be the primary people affected by the counsellor’s actions, the other stakeholders who would be affected would be Amy’s parents, the school and the counsellor’s supervisor, if any. Ethical Dilemma The ethical dilemma faced by the counsellor is whether he should breach confidentiality to disclose Amy’s drug
On questioning her he establishes that these occur only after jogging or swims. After her swim last week she experienced severe dizziness and palpitations which rather alarmed her. On examination her peak flow was within the normal range and no abnormal sounds were noted on chest auscultation. Her heart rate at rest was 100 b/m and her blood pressure 160/90 mmHg. She admitted that she still smokes ‘occasionally’ (although she is trying to give up), and drinks alcohol ‘rather more than she should’, varying between 20-28 units a week.
Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan. How do I know the nursing intervention to perform on stroke patients? It’s through empirical knowing. Empirical knowing is the ‘science’ of nursing, it can be systematically organized into general laws and theories that are used to describe, explain, and predict (Carper, 1978).Empirical knowing is knowledge obtained from school lectures, text books and journals. Empirical knowing focuses on evidenced based practice which leads to effective nursing practice.
The reasons why an individual overeats may not always be clear. As such, activities that result in being overweight create long term physical and emotional damage and the origins or cause for overeating are usually buried deep in the subconscious. Introduction and Initial Consultation Miss X is 29 years old and has issues with her weight from the start of adolescence, around approximately 12 to 13 years of age and her parents criticised her appearance. She has recently come out of a long term relationship, the relationship ended six months ago. She has tried many diets in the past some more successful than others, however within a reasonably short period of time after each attempt to lose weight, she has re-gained the weight she has lost.
After consulting with this modeling scout, she was advised that she must lose 10-inches from her hips. Filled with determination to succeed, Renn embarked on a weight loss regime that nearly cost her life. After reading diet books after diet books, cutting out pictures from magazines, and exercising to a workout video multiple times a night, Crystal still wasn’t happy. Having nearly starving herself and exercising six hours a day, after three months, Crystal was starting to get the body she had imagined. Throughout the next three years, Crystal dropped nearly 90 pounds and despite her dwindling health, was often praised by her agency for her waif-like frame.
For this reason, Adipex-P (Phentermine) can only be prescribed and monitored by a physician. (1) Appetite Suppressant: Adipex-P (Phentermine) After discussing my Kinesiology class with my mother, I discovered that she has been taking an appetite suppressant to help jump start her weight loss. I knew that she had been losing weight; however, I thought it was only from diet and exercise and that she was clear from the steroids and chemo that she had been exposed to after being diagnosed with colon cancer. To my surprise she had told me that she had tried many diet supplements in the past 20 years and understood a lot of the articles I had showed her from my test reviews. I asked her how much money she thought she had spent on the variety of supplements that she had tried and she cringed when she thought of the amount of money wasted.
Marissa Benavides English IV, 5th period Instructor, Mrs. King October 23, 2011 Homelessness In the video “Homeless: A Teen Perspective,” one of the myths for why teens are homeless is because they do drugs. Teens that are homeless do not do drugs, most of them are homeless because they were either; too old for foster care, were force to leave their house due economic problems, or left from and abusive and neglect home, or were fired from their job. Most people out there misjudge the homeless as the stereotype homeless people which are the ones who do drugs and everything else. In the second video of “Homeless: A Teen Perspective,” some teens can get back on their feet and get out of their struggle of being homeless by going back to school and find job. Just like Elisabeth Murry, she was homeless when she was in her teens, her parents did drugs and she watched her parents do drugs, she had to find a way to feed herself at an early age.
(1) The resistance-training group worked out three times a week, with instructions to exercise about three hours total. They used eight different weight machines. (2) The aerobic group put in about 12 miles a week on elliptical machines or treadmills, putting in about 133 minutes a week, or about 2 1/4 hours. (3) The combination group worked out three days a week, putting in the combined effort of the resistance training and the aerobic groups. 119 participants finished the study.
Behavioral Psychiatric Assessments I would like for you to consider the behavioral health issues you have dealt with in your clinical settings up until now, and submit to the objectives assignment link 2 objectives you have set for yourself to improve your interaction with patients with behavioral health problems. And, how you plan to meet them. The behavioral health issues I dealt with this semester include: anxiety, depression, dementia, smoking cessation, and insomnia. The goal during the interaction with patients with psychiatric issues was focused on improving my communication skills when taking history and performing physical assessments. Of particular note were the differences in approach between a behavioral health patient and
Weekly sessions will focus on such the goals as maintaining complete abstinence, developing healthy social relationships, and addressing the dysfunctions associated with the client’s substance abuse. The role of assessment and the DSM-VI in treatment planning The bio/psycho/social assessment is the first step in the intake process to determine the nature and extent of the client’s challenge with substance that includes their medical status, employment and support status, alcohol and drug use, legal status, family and social relationship, and psychiatric status. This extensive collection of information is used to gain an understanding of the client and will be used to formulate an individual treatment plan that will contain a series of flexible long, and short-term goals developed by the therapist and client and should always reflect the desires and diversity of the client (Sullivan, 2002). According to the