The On The Family System Of Cybernetics And The Influence Of Feedback

2/10/2016, 1600, Vital Signs: BP 140/85 P132 RR32 Temp 102.2 SpO2 85% on 2 liter by nasal cannula. Jacquline Catanzaro is 45 years old female on disability admitted to Medical Unit Hospital. Sister with patient. Reason to admit is can’t breathe. Diagnosis is 30 year of asthma exacerbation, psychiatric schizophrenia, obesity, pneumonia and herniated disc. Smokes 40 packs year. Drinks 2 pots of coffee a day. Drinks 3 beers each day. Frequency ED visits and hospitalization dependence on rescue inhaler. Patient refuses wear nasal cannula because of worry that it contains poison. Patient has a long history of stopping taking psychiatric medication and asthma medications. Patient has isolated herself from others. Sister is only caregiver. Neuro

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

When viewing this family in a Solution Focused Brief Therapy (SFBT) lens, we would focus on the solutions rather than the problem. Although the initial assessment would be similar to that of structural and strategic therapy, all of these issues would be explore, we would focus on the solutions rather than the problem. Although the initial assessment would be similar to that of structural and strategic therapy, all of these issues would be explored in a way that allowed for less “problem talk” and more solution based ideas.

This paper evaluates the Structural Family Therapy model and its impact on the Emotionally Focused Therapy by Sue Johnson. This paper will discuss the concepts of therapy utilized within the Structural Family Therapy model and how Sue Johnson utilized many of its methods when constructing Emotionally Focused Therapy model. The history of family therapy will be evaluated and the goals of family therapy. Research has proven that due to these clinical practices, families and couples are allowed to evolved issues in which they face into healthy relationships by evaluating patterns in behaviors and past events in their lives. Therapy focuses on the correction of the dysfunctional family as a cohesive unit and does not place focus on the individual. Therefore we find the psychotherapy as a family unit deems to be more effective than previous practices of an isolated session with only the patient and therapist.

The emergence of family and systemic therapies in the latter part of the 20th century saw something of a paradigm shift in the world of psychotherapy and counseling. Those in the field during the 1960’s and 1970’s were predominantly occupied with psychodynamic, behavioural and humanistic approaches (Corey, 2009). Theories attached to these forms of therapy emphasized the autonomy of the individual, and the capacity to engage in free, independent choice. In therapeutic settings, much of the discussion would also typically be focused on ‘cause-and-effect’, in other words; seeking an explanation for why a person was thinking, feeling or behaving in a particular manner. Less attention would be focused on the context of the individuals’ experience, and the matter of how a situation came to be as it is (Bowen, 1972).

Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated “I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.”. (Health and Human Services panel, 2013)

As have been described above, HIV can have a potential effect on immunological cells, which are important to protect the body from additional infections such as Tuberculosis (TB), Cytomegalovirus (CMV) and other viral or bacterial infections. An effective treatment is needed to reconstruct what HIV has damaged. Antiretroviral therapy (ART) is a common treatment to stop the viral replication and decrease the disease progression, which may lead to a vast decline of the morbidity and mortality. The standard treatment involves a combination of at least three drugs; often known as a highly active antiretroviral therapy (HAART) where the most common types are Nucleoside reverse transcriptase

The patient is an 85-year-old female who is brought to the ED by her family because of increasing confusion and supposedly she had a degree of altered mental status of two hours previous to presentation. In the ED she is completely worked up. CT shows advanced atrophy with microvascular changes and several lacunar infarcts nothing acute. Specific gravity in the urine reveals her to be markedly dehydrated. She culture completely, started on IV antibiotics, IV fluids and B12. On the day after admission she still presents as persistently confused. She is evaluated by PT. The patient who was formerly ambulating with a walker and allegedly driving a car is unable to be ambulated. Before the history indicates that she has a slow downward

This is 38 year old white female. Patient has several issue, chronic back pain, left eye blindness, leg neuraliga and numbness, insomnia, depression Hep B&C positive. Patient reports MVA 18 years ago, lost her mother and father and injured her back and lost her right eye sight. Patient has a history of chronic depression and night terror and she was taking seroquel. Patient has impaired hip joint immobility related injury and chronic pain. Patient reports she is depressed but denies thoughts of suicide or homicide. Patient states she has a history of iv drug use, and her sexual encounter are only with other females. Patient was diagnosed with Hep B &C and doesn't know what to do. Also it has been a long time since she had her eyes checked.

Risk for infection is the next nursing diagnosis priority for A.C. This patient has an altered mental status, she is allowed nothing by mouth, has a history of diabetes and obesity, and her glucose is 95, but gets up to 222. She has an increased temperature of

Introduction: Jessie Buchanan, an 80-year old female, was admitted to Bethany Care Society in room 3088-1 at the center unit. She is an extensive assist, requires 1 staff assistance and uses the transfer belt to transfer from bed to her wheelchair. She was admitted here because none of her family members can look after her because they are all busy with their own personal life. Jessie prefers to stay at Bethany because she receives full-time care from the health care providers. Jessie had a history of edema on her right ankle because she was experiencing hyponatremia. Currently, she is on fluid restriction and every morning I would put her compression stockings to prevent the occurrence of edema. Her condition worsens when she was diagnosed with osteoarthritis(OA), delirium, depression, type 2 diabetes mellitus, schizophrenia, hypertension, and urinary tract infections. Her recent urine culture shows that she is positive for urine nitrite and urine leukocyte which caused the UTI. Jessie is incontinent and she wears an indwelling catheter. Jessie said that sometimes her knees are painful. She takes an analgesic to relieve the pain that she feels. Jessie 's blood sugar level is within the range. She is not taking insulin or any oral medications like metformin because she knows how to control it, by following the proper diet. Jessie always have a good sleep and never complains about her sleeping pattern. She is taking medications for GERD, iron supplement, bone health,

The following case scenario is based on a fictitious patient, and it would be use on this paper as a guidance to develop a patient and family teaching plan. The situation: Mrs. Marquez, a 39-year-old Caucasian female was admitted into the Emergency Department due to complains of shortness of breath and anxiety. Patient cannot take deep breaths, appears overweight and denies Allergies to medication. The background: Patient has medical history for panic attacks, atrial fibrillation, and Grand Mal seizures; however, patient is not constantly taking her seizure medication. Patient previously had a cholecystectomy, and smokes 1 pack of cigarettes per day for 12 years. The Assessment: Patient vital signs 98.8° F oral, 109 heart rate, 26 respiratory rate, 150/86 blood pressure, SaO2 97% on room air. Denies pain. Neurological; Patient is 65 inches tall, weighing 246 lbs. She is able to move all extremities with strong pushes and pulls. States her “last seizure was two months ago.” Respiratory; Respirations are even, deep, and rapid. Lungs are clear on auscultation. Cardiac; EKG reveals atrial fibrillation; patient states, “It feels like my heart is racing at times.” Pulses are palpable +3 all extremities; capillary refill is instant. GI; Abdomen soft, no distended, and no tender with bowel sounds present in all four quadrants; skin is intact and warm. Current medications: Dilantin 400mg PO BID, Lexapro 20mg PO daily, Metoprolol 25

effort must be made on the part of the patient as medicine can not cure

This essay is intended to evaluate one therapeutic intervention or theory that may be used in Family therapy. The theory being examined is Cognitive Behavioral Therapy, or for short CBT. The essay will begin with defining CBT and discussing the underlying principles, techniques and concepts of the approach. Some practical examples and scenarios of utilizing CBT will then be explored. Then the essay will proceed to a discussion on the advantages and disadvantages of this therapeutic intervention. Finally a conclusion regarding employing such techniques will be made.

For the purpose of confidentiality, the patient will be identified by the initials A. S. A.S was a 52- year old African American woman who was admitted to the hospital when she started to experience severe urinary retention and shortness of breath. She has three adult children and eight grandchildren, but recently lost her husband of 25 years to diabetes. The patient appears to be very independent because she lives alone in her home and is aware of the disease process. She has a past medical history of acute renal