Porche Hamilton
BSHS 321
Human Service Scenario Analysis
Instructor: Julie Murphy
ABSTRACT
This analysis gives in detail the background, including age and gender of the patient in the evaluation. The details are that the treatment plan must be a clear and concise method to help the patient cope with her significant events. The underlying treatment and diagnosis for this patient are confirmed and may be requested for further treatment and examination. Diagnosis at this time is Major Depressive Disorder, Axis-IV as so stated in DSM-IV.
Jennifer Diggs is a twenty six year old African American female soldier. She was raised in a single parent house hold along with her three siblings. Her parents divorced when she was about twelve
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She was fidgeting during our session, seemed to be very restless, and she has a slight slur in her words. Jennifer says she has also become very emotional in the past year. She has stated that whenever she is around a large group of people, like at the grocery store, she becomes vey nervous, and sometimes break out in sweats. There has been a change in her weight. Jennifer was one-hundred and thirty-five pounds and she has gained and extra forty pounds, because she eats all day. She doesn’t feel like harming herself or others. The patient suffers from Major Depressive Disorder.The best treatment plan for this patient is to receive group therapy as well as individual help. The group therapy may use Cognitive Behavioral Therapy that focuses on thoughts and behoviors, Interpersonal Therapy which focuses on other’s roles in your life, whether or not an individual is part of your problems, and her interpretations of other’s interactions. Psychodynamic Therapy that focuses on traumatic events that may play an intrique role in your behavior. I have prescribed some antidepressants. I would like to discontinue the Electroconvulsive Therapy. There will be more sessions with the patient for further evaluation. The patient is to return in two weeks for another evaluation to determine of she needs further treatment or to discontinue other treatments that are set forth her in this
1.3. In order to estimate the peso discount rate, assume that the International Fisher Effect (IFE) holds. Groupe Ariel's Euro hurdle rate for a project of this type was 8%. Assume that inflation rates are expected to be 7% in Mexico and 3% in France.
A major depressive episode is not a disorder in itself, but rather more of a description or symptoms of part of a disorder most often depressive disorder or bipolar. A person suffering from a major depressive episode must have a depressed mood or a loss of interest in daily activities consistently for a minimum of a two-week time span (Psych Central, 2013). In diagnosing the mood must reflect a change from the person’s normal mood. A person’s daily activities and functions, such as work, social routines and friends, education, family, and relationships must also have been negatively impacted by the change in their mood. A major depressive episode is also identified by presence of five or more of the following symptoms. The patient can show signs of significant weight loss or weight gain even not dieting or trying to lose or gain weight. The patient will also display a change in appetite almost everyday, either with an increase or a decrease in their normal eating habits. The weight change is typically set at an increase or decrease in weight of more than 5% per month. The patient will display a depressed mood almost the entire day and this sadness, emptiness, loneliness, crying, and distant is observed by others or indicted by the patient, is typically
Major depressive disorder, we all have probably heard of it, but do we really know what is it is ? Major depressive disorder is “a mood disorder that causes a persistent feeling of sadness and loss of interest… major depressive disorder or clinical depression, affects how you feel, think and behave and can lead to a variety of emotional and physical problems”(Mayo Clinic Staff). Having this disorder puts you in a very unstable position because you are constantly feeling depressed so it affects the way you think and feel and that can be very dangerous. Sometimes this happens to a person for one day, but put yourself in the shoes of someone who experiencing this for more than two weeks? When you have major depressive disorder, the signs of depression disorder can last for two weeks or more(myers646). This dis order must be treated immediately because “depression may make you feel as if life isn 't worth living”(Mayo Clinic Staff). Feeling this way can lead you to doing things that you can not take back such as committing suicide and sadly that can happen when you have major depressive disorder. Kiyohara and Yoshimasu conducted a research that showed that 90% of suicides have were dealing with major depressive disorder(qtd. in The World Health Organization). Throughout this paper I will be discussing the causes, symptoms and treatment when dealing with major depressive disorder.
Unfortunately there is a moral problem in this situation because the officers asking to be re assigned for the simple fact that Officer Jones is homosexual is unsatisfactory. Policy and law does in fact dictate an appropriate response. In every career field and every department there are laws against discrimination and this is definitely discrimination, no professional discretion should be used when addressing this situation unless speaking with Officer Jones. To address this situation I would have to think about how camaraderie would suffer if this continues. I would also have to think about how Officer Jones may react if he finds out that the reason h constantly gets new partners is because of his sexual orientation. In this situation I would approach Officer Jones as he is a veteran in the department and consult his advice. I would
Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.
Within the practice of nursing, situations often arise where nurses are forced to make decisions regardless of their level of experience in the profession. Providing care and following the physician’s orders historically were the nurse’s sole responsibilities. However, social change, changes in health care finances, increasing international perspectives, and demographic population changes, have resulted in a significant evolution of the roles and responsibilities emplaced on today’s nurses (The National Association of Clinical Nurse Specialists (NACNS), 2007). Kelly and Crawford (2013) believe budget cuts, higher client acuity and clients with complex needs, mergers of hospital corporations as well as a general shortage of qualified nurses has made it necessary for nurses to play a role in decision making. Decision making is defined as “cognitive process leading to the selection of a course of action among alternatives” (Kelly & Crawford, 2013, p. 352).
Reporter believes the children are being molested by the father. It's unknown if the mother has been involved or not. Reporter believes this because it was stated by some children in the neighborhood that they had been messed with. Reporter is not sure if the step-children have been abused or neglected. They (Skylar, Kinsley) come to the home on the weekends. They live with their mother. Reporter is not sure the exact words being said. Reporter believes DHS has been out about the same thing. Reporter didn't think it was a good idea to speak with the children. Reporter is not sure if they need immediate medical attention. They probably have bruising on their legs. Reporter is unsure where the bruising came from. It's unknown who caused the bruising.
Patient reports the following emotional complains: feeling depressed, anhedonia, sadness, anxiety, worry, irritability, withdrawn, isolation, feeling hopeless, helpless and lost interest in most activities. She reports having daily crying spells and ongoing fear for her family’s ability to cope and adjust to all the traumatic events. She reports experiencing traumatic physical and emotional life threatening incidents in
Patient reports that five months ago she got angry with her children and stayed in bed for two days. She was feeling suicidal, mad at herself and mad at her children for not caring enough to come and get her. Patient stated that she was unsure how to leave the bedroom. This incident began this depression episode.
296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.
Jordan is a 36-year-old man with a diagnosis of depression. Depression is a broad diagnosis which the ICD-10 classification system requires the patient to present with at least four out of the ten depressive symptoms to be formally diagnosed (NICE 2009, World Health Organisation 2010). For a formal diagnosis of depression, the DSM-V system requires five or more of the nine possible
This volume is the maximum amount of air that a person can expel from the lungs after first filling lungs to maximum and then expel air to maximum extent approx. 4600 ml.
In the past, the booming economy had allowed for year to year increase in their sales because people had larger discretionary incomes. But due to the recession, smaller independent retailers had to markdown their items in order to stay in business because designer outlet stores are getting more traffic; so will Harry Rosen follow in suit? Or in order to maintain the integrity of the quality products they offer, will they continue their higher pricing and settle for a lower market share?
Cross-functional teams are vital in many businesses, because it increases productivity, enhances communication between departments, and leads to overall success in a company. Boldflash is a company that has fallen behind on this front, and is thus struggling to keep up with its competitors. Roger Cahill, the new vice president of the Mobile Division, is faced with the challenge of finding a way to restructure the departments in his division in order to increase productivity and improve the product development process.
Mr. Alfaro Burgos, the vice president for sales of Dyners Corporation. It is a family firm that manufactures stainless steel and silver plated tableware. After some time, the inventory of the company showed a shortage. He discovered some mispacking of silver plated tableware in the warehouse of the corporation. He hired an industrial security firm to investigate the deprivation in the warehouse. It did not take long for the agent to discover the truth. Karlo Deles, the warehouse supervisor was the man behind the internal