From the discussion
Case Study: Joshua Jones
choose Joshua, one of his parents, or one sibling to refer to another healthcare professional for grief counseling. Write a progress referral note supporting your referral with DSM-5 Persistent Complex Bereavement Disorder criteria and a summary of an evidence-based article. In addition, identify a national or community resource for your patient.
Anna (age 35) and Tom (age 36) Jones have an appointment with you for an evaluation of their son, Joshua, who is 5 years old. They bring all their children to the appointment, including Tommie (6 months), Joshua (5), Sally (7), Mari (11), and Janey (15). You quickly recognize that the entire family needs assistance, not just Joshua.
Joshua was recently diagnosed with acute myeloid leukemia, and he is not expected to live more than a few months. He has been withdrawn and irritable, is crying a lot, and has not been interested in playing or doing the things he used to enjoy before his diagnosis. Also since the diagnosis, his siblings have been fighting a lot at home with each other and their parents and refusing to do their chores. Mari and Janey, the two oldest, are refusing to go to school.
In your initial post, answer the following questions from your perspective as their psychiatric nurse practitioner.
1-Based on Joshuas presentation, how would you relate his developmental milestones to his clinical presentation and perception of death and dying? When providing grief therapy, what information would you provide Joshua and his parents regarding Joshuas perception of his terminal illness?
2-Select one of the Jones children (except Joshua) and identify the normal developmental milestones you would expect based on their current age. Identify an age-appropriate national or community resource related to grief or a sibling with cancer and explain the benefit of the resource you provided.
3-What, if any, cultural considerations should you apply when working with the Jones family?
Directions
Review the case study and then answer the questions that follow.
Case
You are rounding on the inpatient geriatric unit. Your first patient is Eva Harold, who was admitted late yesterday after being discharged from her nursing home because of assaultive behavior.
Intake Note
Eva Harold, a 78-year-old female, has been a resident of Carrot Patch Assisted Living for about two years. Her husband initially admitted her because of Alzheimers disease, associated memory decline, and progressive need for assistance with activities of daily living (ADLs) that could not be met by her family or community-based programs. She had a history of osteoarthritis but was otherwise healthy.
She had a Mini Mental State Exam (MMSE) =18 (moderate cognitive impairment) on admission last night. Meds on admission were galantamine 24 mg daily and celecoxib 200 mg daily. Nursing staff describe Eva as a sweet lady. However, recently she began having confrontations with staff and has become increasingly restless and agitated. She even started hitting staff. These behaviors are especially prominent during the evenings.
She also seems sad and has been expressing helplessness and hopelessness in comments to staff. She recently shouted for an aide to leave her roomfor unclear reasonswhile the two of them were looking at pictures in one of her photo albums. She was restless and tense that day and, as the sun began to set, another resident approached her in her room, voices were raised, and Eva struck the other resident. Eva is now being assessed for her new onset of behaviors.
Physical examination, blood work, and medication review are negative. The short form GDS=8 (above 5, positive screen for depression). She also appears sad and expresses helplessness and hopelessness. Her pain scale score is 0 out of 5 (zero being no pain).
Questions
From your perspective as Evas psychiatric nurse practitioner, answer the following questions in a double-spaced paper (not including the reference page) in APA format. Include at least three peer-reviewed, evidence-based references.
1-What assessment and screening tools would you use with Eva?
2-What medications would you start? Please include the rationale for each medication you chose and starting dose, medication education, side effects, and any special considerations.
3-What are the steps to get her placed into a different nursing home? Please remember that she has a history of aggressive behavior and note that she has Medicare.
4-What resources and education would you give her family?
Discuss the history of the United States Accounting Setting Standards.
Describe The Organism Bifidobacterium infantis.
Objective: This assignment, in accordance with undergraduate academic endeavors, provides an opportunity to evaluate assimilation of course topics, and sharpen and evaluate students’ research & critical thinking skills.
Type: This assignment consists of a research-analysis paper of at least four pages in length, double-spaced (This page count does not include a title page, abstract (optional), table of contents (optional), Reference listing page(s), or end-notes page(s) (if used)). The source material should result primarily from self-led research of the required texts and readings from this course. The paper should have approximately four pages of content which are the written results of your research efforts.
Topic: Choose two of the following questions/issues, and write approximately 2 pages on each question/issues that you select:
– Compare and contrast U.S. Counterintelligence to that of a foreign country’s counterintelligence security services.
– What are the lasting ramifications of a past Counterintelligence operation (such as COINTELPRO, VENONA, etc.)?
– Is the current state of counterintelligence in the Intelligence Community adequate? Why or why not?
– Explain the responsibility of counterintelligence in a major Intelligence failure. Examples might include: Pearl Harbor, the Bay of Pigs Invasion, Tet Offensive 1968, the Yom Kippur War, or 9/11.
– Discuss specific challenges to one type of counterintelligence that may not apply to other types of counterintelligence (national security, military, law enforcement, business, private).
Format: Your paper requires a Title page, citations, and a References list. Your paper should be in the Chicago style.
Objective: This assignment, in accordance with undergraduate academic endeavors, provides an opportunity to evaluate assimilation of course topics, and sharpen and evaluate students’ research & critical thinking skills.
Type: This assignment consists of a research-analysis paper approximately four pages in length, double-spaced (This page count does not include a title page, abstract (optional), table of contents (optional), Reference listing page(s), or end-notes page(s) (if used)). The source material should result primarily from self-led research of the required texts and readings from this course. The paper should have approximately four pages of content which are the written results of your research efforts.
Topic: Research and analyze a counterrorism or cyberspace operation which primarily utilized defensive counterintelligence support. Discuss the historical events that let to the mission, identify the agency and the opponent, and identify the defensive principles of deter and detect in the countermeasures. Some examples of relevant counterterrorism operations may include: 1983’s Marine Barracks in Lebanon, 1993 WTC bombing, 1996 USS Cole, 1998 US Embassies in Africa, Sept 11 2001, 2005 London bombings, etc. Some examples of relevant cyberspace operations may include: 2001-2005 Chinese cyberespionage (Titan Rain), 2011 Duqu worm(surveillance malware targeted at Iranian nuclear facilites), 2012 Flame (surveillance malware targeted at the Iranian oil industry), 2012-2013 cyberattacks against U.S. banking industry, etc.
Format: Your paper requires a Title page, citations, and a References list. Your paper should be in the Chicago style.
Macrosociology and microsociology are two different approaches that sociologists use to research and understand the social world. Macrosociology is a big picture approach, through which sociologists explore social issues at the structural and institutional levels. Microsociology is focused more on the individual and small groups, examining social interactions and social construction of reality. For this assignment, (1) identify an editorial piece or opinion-editorial piece on a recent or ongoing news story, (2) evaluate the use of both macrosociological and microsociological perspectives by the author of the piece. Does their argument rely more on one than the other? Is there a healthy balance between the two? How might the argument be made more effective by integrating the two?
Your paper should be between 500 and 700 words.
It should include a properly formatted citation of the piece you are evaluating. (Any of the three styles are acceptable).
https://owl.purdue.edu/owl/research_and_citation/using_research/citation_style_chart.html
Respond to the following three short essay questions:
1. What are four published official resources (strategies, International Codes, etc) available to the port FSO in assessing domestic and international risks associated with terrorism and other criminal activity threats posed to port maritime operations? Provide critical analysis of eachstrengths, weaknesses areas that need further development, areas where emphasis needs to be placed. (To be clear do not pick published articles. The focus here is on official documents).
2. What is the role of MTSA 2002 required Area Maritime Security Committee or AMSC? Why is this organization critical to the secure operation of a port? Be specific. Are there areas within the security regime that committee members can work more closely?
3. Define and give examples of maritime Cyber terrorism. How does it threaten port security operations now and in the future? Be specific.
Technical Requirements
Your paper must be at a minimum of 6-9 pages, or 2-3 pages per question (the Title and Reference pages do not count towards the minimum limit).
Scholarly and credible references should be used. A good rule of thumb is at least 2 scholarly sources per page of content.
Type in Times New Roman, 12 point, and double space.
Students will follow the current APA Style as the sole citation and reference style used in written work submitted as part of coursework.
Points will be deducted for the use of Wikipedia or encyclopedic type sources. It is highly advised to utilize books, peer-reviewed journals, articles, archived documents, etc.
Now that you have read Chapter 1 and Chapter 2, you should have a clear understanding of the scientific and philosophical foundations of applied behavior analysis. One of the major assumptions of science is that the universe is a lawful and orderly place in which all phenomena occur as a result of some event.
In your original post, describe the philosophical position of determinism while considering the practical consequences of assuming both positions of determinism and free will. Conclude by identifying why behavior analysts must subscribe to the assumption of determinism.
