Lesacote - Lesa Cote

PSY 205 Week 5 Assignment 1 Parental Responsiveness NEW

Assignment 1: Parental Responsiveness

Due Week 5 and worth 160 points   Story Before my first child was born, I studied child development. I learned the importance of responsive caregiving. I learned that I would soon be able to read my baby’s cries. I would know what was wrong and what I could do by the sound of the cry. After my baby was born, I responded quickly when he cried. To my surprise, I had difficulty calming him. I realized I did not always know what was wrong by the sound of his cry. I became very frustrated and decided that if my baby was dry, fed, and not tired. I would just let him cry it out. I didn’t know what else to do.   Write a two to three (2-3) page paper in which you: Explain how Behaviorism, Psychoanalytic Theory, and Attachment Theory suggest handling this situation and predict what would be each likely outcome. Identify the characteristics that a baby could have that may disrupt the attachment process. Suggest a solution that is supported by research and theory. Explain what the research says regarding how parents should react to the cries of a child. Assess the behavior of the mother in supporting secure attachment. Use at least four (4) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.   Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.   The specific course learning outcomes associated with this assignment are: Assess the biological, cognitive, cultural, environmental, and social factors that influence development throughout the lifespan. Use technology and information resources to research issues in lifespan development. Write clearly and concisely about lifespan development using proper writing mechanics

for assignment help and quiz, 

visit 

http://www.dreamassignment.com/

NR 601 Week 2 Case Study Discussions Physical Examination (Part-1) NEW

Discussion Part One (graded)

B.J., a 70-year-old Caucasian female has been seen in the clinic several times over the last 3 years. However, she missed her last annual appointment-last appointment was 18 months ago and today you are the nurse practitioner seeing her. She arrived to the clinic alone and states she is “here for my check-up”.  

Background:

The patient reports that “my feet just burn and tingle all the time and it is so much worse at night that I can hardly sleep at all”. She also indicates that “I need some new pillows; I use 3 of them now to just get comfortable at night to sleep. Those pillows help me catch my breath so I can sleep better”.  She also reports dyspnea just walking to the bathroom, but it only happens when her legs are “swole up” and also states, “the coughing also keeps me up at night”.  To be honest, “I’m just tired in general whether my feet are “swole” or not”. She also indicates that she cannot see well, especially at night. She also reported that at her last visit to the clinic, she was told that she had a “heart beat problem” and that she is supposed to be taking aspirin every day. She said she thinks all of her “heart pains” went away after she started taking the aspirin and “putting that pill under the tongue”.  One of her concerns she has today is that since her husband died last year, she tells you, “I just don’t like doing things that I liked to do before my husband died. We used to like to do all sorts of stuff, but anymore….I just feel blue all the time”.

PMH:

Chronic back pain

Hypertension

Previous history of MI in 2010

Diabetes?

Hypothyroidism?

Constipation?

Congestive Heart Failure?

Current medications: 

            Coreg 6.25 mg PO BID

            Colace 100 mg PO BID

            Glucotrol XL 10 mg PO daily

            Lantus insulin 20 units at HS

            K-dur 20 mEq PO QD

            Furosemide 40 mg PO QD

            L-Thyroxine 112 mcg PO QD

Aspirin?

Nitroglycerine?

Surgeries:

2010-Left Anterior Descending (LAD) cardiac stent placement Allergies: Amoxicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year Has never had a Pneumovax

Has not had a Td in over 20 years

Has not had the herpes zoster vaccine

Other:

Has not seen a dentist in over 15 years, the time she got her dentures

Last colorectal screening was 11 years ago

Last mammogram was 5 years ago

Has never had a DEXA/Bone Density Test

Last dilated eye exam was 4 years ago

Labs from last year’s visit: Hgb 12.2, Hct 37%, Hgb A1C 8.2%, K+ 4.2, Na+140,Cholesterol 186, Triglycerides 188, HDL 37, LDL 98, TSH 3.7, ALT/AST WNL.

Social history:

She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her two sons and their wives live with her, take her to church and to the local senior center; they do all the cleaning, run errands, and do grocery shopping. Family history:

Both parents are deceased. Father died of a heart attack; mother died of natural causes.  She had one brother who died of a heart attack 20 years ago at the age of 52.

Habits:

Patient is a current tobacco user and has smoked 1 pack of cigarettes daily for the last 50 years and reports having no desire to quit. She uses occasional chew.  She drinks one 4 ounce glass of red wine daily.

  Discussion Part One:

 Provide differential diagnoses (DD) with rationale.

Further ROS questions needed to develop DD.

Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

for assignment help and quiz, 

visit http://www.dreamassignment.com/

NR 601 Week 4 Case Study Discussions Physical Examination  (Part-2) NEW

Discussion Part Two (graded)

 Physical examination:

Vital Signs:

Height:  5’8” Weight: 188 pounds BMI: 28.58    BP: 130/70    T: 99.0 oral    P: 72 regular    R: 24, pursed-lip breathing; Pain level-7-right shoulder HEENT: Normocephalic, symmetric. PERRLA, EOMI, cerumen impaction bilateral ears.

NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. LUNGS: Labored respirations; posterior RLL, LLL, RML, LML diminished breath sounds. Rhonchi right and left anterior chest.

HEART: RRR with regular without S3, S4, murmurs or rubs.     ABDOMEN: Normal contour; active bowel sounds, LLQ tenderness.

PV: Diminished pedal pulses; hair loss noted over extremities.

NEUROLOGIC: Negative

GENITOURINARY:  Urinary dribbling, urgency, gets up 4 times during the night, distended bladder.

MUSCULOSKELETAL: Limited ROM in right shoulder. Crepitus in knees bilaterally. 

PSYCH: Negative 

SKIN: Negative

 Discussion Part Two:

Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.

for assignment help and quiz, 

visit 

http://www.dreamassignment.com/

NR 601 Week 5 Case Study Discussions Physical Examination  (Part-1) NEW

Discussion Part One (graded)

 C.W. is a tall, thin 78-year-old African American male brought into the office by his son who states that the patient is restless, angry, and has been unable to sleep for the last week. The son indicates that he is very concerned about his father because he lives alone. Also, he is concerned about the “strange” symptoms that his father has presented with recently.

 Background: 

C.W. presents as restless, hyperverbal, obnoxious and angry. He expresses himself by periodic yelling. He is unkempt and smells strongly of urine, alcohol and body odor. ………… has an unsteady gait and sways while standing. As you converse with the son, you determine that C.W. was medically separated from military service due to mental health issues after 2 years of active duty that ended in 1947. He has been married and divorced three times over the years. He typically seeks no acute or preventative medical care. ___ was treated by a psychiatrist previously, but he did not like taking the prescribed medications so he stopped taking them and did not keep any further psychiatric appointments.  

 PMH:

Patient denies any previous diagnoses. However, when asked why he saw a psychiatrist in the past, he tells you that the psychiatrist diagnosed paranoid schizophrenia, but that he does not have any psychiatric diagnoses or problems. He states: “It was just a way for him to make money off me coming in and seeing him and paying the drug companies for me to take all those meds!” 

Current medications: 

Denies prescription medications, over the counter medication, herbal therapies or vitamins.  

Surgeries:

Denies surgeries 

Allergies: NKA

Vaccination History:

Flu vaccine: never given

Pneumovax: never given

Tetanus: never given

Herpes zoster: never given 

Screening History:

 Last Colonoscopy was 2012-normal

Last dilated retinal and glaucoma exam was 2013 

 Social history and Risk Factors:

 Patient admits to smoking cigarettes and cigars. …… estimates that he smokes about 1 pack of cigarettes daily for the last 40 years, and 2 cigars each week for the last 30 years.

He states that he drinks a 24 ounce bottle of beer 4-6 times a week. … denies drinking wine or hard liquor. …….. does admit to smoking marijuana on occasion but does not use other recreational drugs. Patient denies falling. You notice some scrapes on his forearms, and when asked, he tells you that he fell yesterday: “I got pretty drunk out fishin’ with friends and fell off my bike trying to ride home”. He does not use any assistive devices for ambulation or balance.

Significant ROS:

Productive cough with white sputum. Denies hemoptysis.

He answers “No” to the PHQ-2 screening questions. 

Family history:

Reports no significant family history

  Discussion Part One:

Provide differential diagnoses (DD) with rationale. Further ROS questions needed to develop DD. Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

for assignment help and quiz, ‘visit 

http://www.dreamassignment.com/