As the term winds down, think about what you’re going to take away from this class. The questions below should guide your thinking, but feel free to volunteer additional information if you feel it is relevant. You are expected to write a minimum of 200 words for this assignment. This is the last assignment, so give it your best effort!

1) At the beginning of this term, what did you expect to learn from this course?

2) Did the course require more of less effort than you thought it would?

3) What was your favorite part of this course? (Be specific)

4) What was your least favorite part? (Be specific)

5) What was something unexpected that you learned?

6) What do you feel was the most valuable thing you learned?

7) What benefits does this class provide for your career choice at WCU?

8) What would you change about this class?

9) What advice would you give an incoming student on how to prepare for this course?

2

Generalized Anxiety Disorder
Middle-Aged White Male With Anxiety

 

BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

RESOURCES

§ Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

Decision Point One

Select what you should do:

Begin Paxil 10 mg po daily

Begin Imipramine 25 mg po BID

Begin Buspirone 10 mg po BID

MODULE 3
. AUTISM SPECTRUM DISORDER (ASD) AND EARLY ATTENTION. 

Note: include and develop achievements that reflect the data provided and the capabilities acquired, provide examples where required.

I need the work in APA Style and with references.

 

 

 

SUBJECT 12: CONCEPTUALIZATION AND BASIC ASPECTS OF EARLY CARE

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1. Make a conceptual map showing the historical evolution of early care in chronological order, from its inception to the present. Find and add information about early care today.

 

SUBJECT 13: THEORETICAL FRAMEWORK AND MODELS OF ACTION IN EARLY CARE

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1. 1. What is a Child Development and Early Care Center (CDIAT)? Do you think it is important to implement it for children? Why? Reason your answer. Give an example of a center that you know about your Early Care community, its characteristics, functions, who they are made up of… and an example of a situation where the need to use such a centre is reflected. 

       

SUBJECT 14: DETECTION OF AUTISM SPECTRUM DISORDER (ASD) IN EARLY CARE

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1. Why does the delayed recognition of Autism Spectrum Disorder occur? Reason your answer. Find information about a questionnaire that is used to assess ASD and state the information.

Anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids, are widely used for managing various inflammatory conditions. Discuss the potential challenges and considerations a Nurse Practitioner might face when initiating and monitoring therapy with these medications. Consider factors such as the patient’s renal function, gastrointestinal risk, potential drug-drug interactions, and contraindications to therapy. How can a Nurse Practitioner manage these challenges to ensure the safe and effective use of anti-inflammatory drugs in their patients? 

Make 1st posting by Thursday. Make 2 responses to peer postings by Sunday.

Discussion 3:

1. Describe one health care policy related to health care access and tell how it relates. How does the policy address health equities and disparities?

2. Explain which segment(s) of the Public Health Nursing Wheel relates to the effects of economics/health care access and health care policy you just described. That is, tell which outer segment(s) and which segment(s): Systems-focused, Community-focused, Individual-focused, Population-Based/Case Finding, or Population-Based. (Your response may be one or more segment(s).)

The Public Health Intervention Wheel is found at The Minnesota Department of Health at http://www.health.state.mn.us/divs/opi/cd/phn/wheel.html

3. Visit Healthy People 2030 Priorities at https://health.gov/healthypeople/priority-areas List the three priority areas for Healthy People 2030. Read about social determinants on the same Healthy People 2030 website. Describe two social determinants of health that directly relate to the three priority areas for Healthy People 2030.

Include at least two citations and references in your initial discussion posting (WHO website is okay to use for this discussion). Use APA format. Respond to a minimum of two other classmates regarding their post. Your responses to peers should be substantial. Substantial postings are more than just saying “I agree.” Substantial postings add to the point made, provide more information, ask a probing question, or share an experience. End your initial posting with a question to your classmates that furthers discussion on the topic. Also, see the discussion grading rubric. Please write or paste your posting in the discussion box instead of attaching it in a document. Thanks!

Synthesis and Application #3 initial posting due on 10/5/23 by 11:59 pm and two replies to peers due by 10/8/23 by 11:59 pm