The Psychosis Case Study Nursing Essay

The Psychosis Case Study Nursing Essay Rational: Episodes of strange behaviors for at least last three months with withdrawal from activities and relationships, undocumented behavior history among relationships and age period of 18-20 years, past episodes of psychosis may be undocumented. Delusion of being a member of CIA and able to communicate telepathically, and auditory hallucination of male voice telling not fulfilling mission, client is a shame to the country, and will be Presidentially reprimanded. Staff observed as enemy agents and fearful in interactions, blank stares at the wall, angry outbursts, and lack of emotional expression. Mother has noted client to be returning home smelling of alcohol and discovered strange pills in bureau drawer (Osterman, 2012). Axis II: Deferred, pending further assessment. Axis III: No medical problem stated by client or mother. Axis IV: Problem related to: Primary support group: few friendships, shades are drawn. Educational problems: failing grades from not attending or completing assignments. Occupational problems: probation at employer for missed days. Primary support problems: discord with brother, break-up of four year relationship three months ago (Osterman, 2012) (American Psychological Association, 2000). Axis V: 25-30, auditory hallucinations, delusions of grandeur, attempt to jump from third floor window, poor attendance of job or school (Osterman, 2012) (American Psychological Association, 2000). Plan of Care The plan for the client at this stage of presentation is an inpatient hospitalization and initiation of an antipsychotic medication. The underlying rational is that the client is a danger to himself and possibly others as proven by the attempt to jump from a third floor window, a perceived duty to country, and perception of others as enemy secret agents (Osterman, 2012). The long-term plan for the client is to decrease hallucinations and delusions while educating client and family on coping skills and illness, inclusive of assessment for best placement of client for self and family. Initial plan of care is: to hospitalize the client; start him on Zyrexa 20 mg daily, initial IM with change over to PO as compliance increases (Stahl, 2011); check blood chemistries through a CBC, Chem panel (electrolytes, BUN/Cr, Ca, Phos, TSH, LFT, B12, Folate), UA with urine toxicology screen; and initiate oral supplements of Thiamin/Folate/MVI to address possible deficiencies. Further, as the clients mentation clears assessment will be made to investigate appropriateness for alcoholics anonymous referral, smoking cessation education with treatment of 14 mcg Nicoderm patch daily for 6 weeks, and intensive outpatient treatment services as manifested psychosis of hallucinations, delusions, breaks in reality, and catatonia may be symptoms of a clinical condition resultant from drugs or toxins (Jacobson and Tarraza, 2013). During hospitalization, the clients home will be searched for access to weapons and all medications will be locked up, family counseling and anger management sessions are initiated, individual cognitive therapy sessions conducted to modify thought patterns, and therapeutic touch utilized to ground the clients mentation in the here and now. Discharge planning for the client should include intensive outpatient treatment inclusive of medication management, individual and group CBT sessions, and anger management sessions with arrangements for activities that reconnect the client with social supports including consideration of enrollment in online classes at the community college attending and modification of job expectations at place of employment. The goals of this client should address short and long-term domains. The short-term goals for the client are hospitalization for safety, consistent attendance at inpatient groups with peers while hospitalized, attain daily medication compliance, increase engagement with others in the inpatient unit, manifest decreased delusions and hallucinations, and evidence decreased behaviors of self-harm. The long-term goals are to engage in activities with old friends, attend outpatient therapy at a minimum of three times weekly, sustained medication compliance in outpatient follow-up, maintain functionality at school and job, and return to living independently either at home or in a group home. Interventions The clients short-term goals can be categorized into issues of safety and issues of disease management. First, issues of safety may be addressed through initiation and maintenance of hospitalization. Hospitalization allows for the daily administration and monitoring of medication providing a means for assessing the hallucinations and delusions in an environment that can provide safety from intentional self-harm or accidental harm from medication effects. Further, the establishment of a therapeutic relationship with a staff of caregivers during hospitalization provides a framework for the client to increase socialization with others among a system of daily therapy that teaches coping skills and reality testing for recognizing safety from actions of hallucinations. Second, issues of disease management are met through education about diagnosis, medications, and coping skills. Education about diagnosis provided daily empowers the client with an understanding of how hallucinations are man ifest in delusions and allows the client security in building relationships with others. Medication education performed with all administrations builds an understanding by the client of how medications are controlling symptoms recognized as hallucinations and allows him to feel comfortable in engaging others in the milieu. Therapy provided in groups and individual sessions daily may address automatic thoughts, perception of thoughts, cognitive impairments, and behaviors manifest with thoughts to assist the client in learning coping skills and reality testing, inclusive of therapeutic touch for centering the consciousness within the self for unblocking of negative thoughts and grounding in immediate reality, for distinguishing what is real from what is a hallucination (Tusaie, 2013). Properly addressing issues of safety and disease management allows the clinician to assess a progression of evidence in decreased behaviors of self-harm and decreasing of hallucinations to meet the short -term goal of stabilization for determining proper discharge placement and monitoring. The long-term goals for the client are categorized as issues of returning to normal functional activities of daily living and issues of disease management with symptom suppression. Primarily, issues of return to daily functional activity are the most important goals for the client in accepting and managing disease symptoms. The client will be coached by cognitive behavioral therapy at outpatient therapy appointments three times weekly in how to engage in activities such as basketball games, group outings with old friends, maintenance of work requirements, and attendance at school classes without manifesting assumptions or automatic thoughts. Staff will support the client in all therapy sessions to find the best living arrangement for his perception of safety, whether returning to living independently at home or in a group home, as evidenced by decrease in behaviors of self-harm in the setting. Family therapies will be conducted monthly to educate the client and family about disease a nd symptom management, as well as to train the family in skills of early detection with intervention and support. Second, issues of disease symptom suppression will be addressed through the clients attendance of intensive outpatient treatment with therapy and medication education/management at a minimum of three times weekly with attendance at a minimum of 90% of sessions. Efficacy of interventions may be assessed by the clinician in evidenced sustained medication compliance and decreased symptoms of hallucinations and delusions in outpatient follow-up for a period of six months. Outcomes The outcomes of this client is anticipated to be a return to an individual living home environment with sustained disease symptom management manifest through lack of self-harm behaviors and consistent medication compliance. The goal of symptom management is reached over a three-month period of diminished hallucinations and delusions through consistent use of an antipsychotic that controls auditory hallucinations and daily utilization of therapeutic touch to ground the energy of negative cognitions among reality for distinction. Further, progression of placement in an environment of safety is followed in a pattern of most restrictive to least restrictive environment, typically manifest as hospitalization with transition to group home environment and then to a home environment with daily contact progressively lengthening between contacts as absence of symptoms or problems dictates. Additionally, the client will maintain a job and continue in education endeavors over a one-year period t hrough utilization of newly acquired coping skills for symptom or hallucination reduction and reconnection with previous support system of friends and family. Finally, the client and family will understand the manifestation of disease with perceived hallucinations and symptom management through monthly family therapy sessions.

Disney Case

MARKETING 461: CONSUMER BEHAVIOR DISNEY CONSUMER PRODUCTS: MARKETING NUTRITION TO KIDS CASE OVERVIEW: In September 2006 Disney Consumer Products (DCP), the licensing arm of the Walt Disney Company, introduced a broad line of child-oriented â€Å"better for you† foods ranging from fresh fruits and vegetables to frozen meals through an exclusive partnership with Kroger supermarkets. â€Å"Disney Magic Selections† were designed to meet stringent nutritional requirements set by Disney and were supported by child-oriented packaging featuring two new Disney character personas: Chef Mickey for packaged foods and Farmer Mickey for fresh fruits and vegetables.The launch was part of a major shift in DCP’s food and beverage products strategy. In response to a global rise in childhood obesity, Disney changed from a passive licensor of Disney characters to food companies to become a strong advocate of better nutrition for children. The Walt Disney Company—and by extens ion DCP—was highly influential with children. The case asks whether the company can use â€Å"Disney magic† to get children to switch from sugary, processed foods and become lifelong converts to a more nutritious diet.More broadly, the case allows students to consider the role and responsibility of a for-profit company in addressing a significant social issue, namely, obesity. QUESTIONS: Answer each question in as much detail as possible. Questions 1-6 are worth 10 points. The last two questions are worth 20 points. 1. What does the Disney brand stand for? How does the Disney brand translate to â€Å"food†? Do you agree that companies like Disney can be a credible source of nutrition information? 2.Is it a good idea for Disney to participate in the children’s food business? Explain with at least 3 reasons. 3. Based on what you know about children and their behavior, from a communication perspective, what do you think Disney needs to do to be successful wi th this new launch (Discuss at least 3 things)? 4. How important is it to the Disney brand to reduce childhood obesity? What is the role of government as it relates to this topic? 5. Discuss the retail channel strategy. Should Disney look for more partners like Kroger?If so, when? 6. How should Disney manage the risks identified at the end of the case? Are there any other risks associated with this strategy? 7. If Disney is truly concerned about children and nutrition, what else should Disney do as part of their overall marketing strategy (e. g. besides launching a new line of food)? 20 points for 5 reasonable ideas. 8. Do you think it is ethical to market to children? Why or Why not? Base your response on research facts about children’s cognitive development. 20 points. Disney Case MARKETING 461: CONSUMER BEHAVIOR DISNEY CONSUMER PRODUCTS: MARKETING NUTRITION TO KIDS CASE OVERVIEW: In September 2006 Disney Consumer Products (DCP), the licensing arm of the Walt Disney Company, introduced a broad line of child-oriented â€Å"better for you† foods ranging from fresh fruits and vegetables to frozen meals through an exclusive partnership with Kroger supermarkets. â€Å"Disney Magic Selections† were designed to meet stringent nutritional requirements set by Disney and were supported by child-oriented packaging featuring two new Disney character personas: Chef Mickey for packaged foods and Farmer Mickey for fresh fruits and vegetables.The launch was part of a major shift in DCP’s food and beverage products strategy. In response to a global rise in childhood obesity, Disney changed from a passive licensor of Disney characters to food companies to become a strong advocate of better nutrition for children. The Walt Disney Company—and by extens ion DCP—was highly influential with children. The case asks whether the company can use â€Å"Disney magic† to get children to switch from sugary, processed foods and become lifelong converts to a more nutritious diet.More broadly, the case allows students to consider the role and responsibility of a for-profit company in addressing a significant social issue, namely, obesity. QUESTIONS: Answer each question in as much detail as possible. Questions 1-6 are worth 10 points. The last two questions are worth 20 points. 1. What does the Disney brand stand for? How does the Disney brand translate to â€Å"food†? Do you agree that companies like Disney can be a credible source of nutrition information? 2.Is it a good idea for Disney to participate in the children’s food business? Explain with at least 3 reasons. 3. Based on what you know about children and their behavior, from a communication perspective, what do you think Disney needs to do to be successful wi th this new launch (Discuss at least 3 things)? 4. How important is it to the Disney brand to reduce childhood obesity? What is the role of government as it relates to this topic? 5. Discuss the retail channel strategy. Should Disney look for more partners like Kroger?If so, when? 6. How should Disney manage the risks identified at the end of the case? Are there any other risks associated with this strategy? 7. If Disney is truly concerned about children and nutrition, what else should Disney do as part of their overall marketing strategy (e. g. besides launching a new line of food)? 20 points for 5 reasonable ideas. 8. Do you think it is ethical to market to children? Why or Why not? Base your response on research facts about children’s cognitive development. 20 points.

The Foolproof College Essay Samples Mit Strategy

The Foolproof College Essay Samples Mit Strategy Perhaps it turned out to be a different facet of the admission process that solidified your application. In case you're not sure it's far better to ask again or check with a person who got similar job. Keep in mind, an admission essay sample may be a good way to find out more about the writing procedure and understand the task better. You're an intriguing individual. The Awful Secret of College Essay Samples Mit Our technicians will kindly answer each one of your questions. Students lead busy lives and frequently forget about an approaching deadline. In all MIT sample application essays, they should spend enough time describing their creativity and ability to get out of the most troubling situations. By doing that the student stays true to the very first paragraph in offering a very clear direction throughout the whole essay. Answer these questions before you're prepared to find admission to MIT. Professor Mitchell obtained a grant to have a category of students to Belgium so as to study the EU. Name some professors you would love to contact and work with. MIT would like to observe an actual picture of you, the manner in which you behave in your day-to-day pursuits. You will get unique texts, which will be finished in time. It's very beneficial to take writing apart as a way to see just the way that it accomplishes its objectives. There are 3 distinct structures to compose a personal narrative. The general format of your essay, for example, font size and margins, will solely be based on the instructions provided to you. Admission officers are searching for somebody to add to what Their University is. Thus, State University isn't only the ideal spot for me, it is the sole location for me. On top of its growing cultural and ethnic diversity, it is becoming a master at creating a niche for every s tudent. Although it's important to participate in activities around school and the community, students should concentrate on the depth of their involvement, instead of the number of activities they're involved in. Regardless of what major you plan on studying, don't forget to reveal admission officers how you intend to make the most of MIT's academic programs. By taking honors or advanced placement courses, a student demonstrates they aspire to acquire knowledge that wouldn't be obtained in a normal course. It is essential for high school students to understand what they are able to do in order to make themselves standout to the college of their selection. College Essay Samples Mit: the Ultimate Convenience! It's simple to point out an essay that's been written solely for the interest of it. This sort of essay typically has a minimum of 250 words. As stated previously, an excellent essay would adhere to the normal personal essay format. It is one that leaves a lasting impression. Or you are able to view 18 essays all on a single page. Our site is just one of the most appropriate for essay help. You can depend on the ideal essay help online. An essay outline can help you organize the total structure of your essay. There are a number of essay topics that you are able to use in your essay. These forms of essays are guaranteed to doze off your readers. Such essays help gauge the writer's capability to write on a particular topic in an engaging method. If you're not able to be convincing without lying, you're applying to the incorrect school or utilizing the incorrect strategy. As soon as you imitate the job written by somebody else and move it as your individual it's generally referred to as plagiarism. Another benefit of our website is the quickness. Discovering and picking a university that fulfills all my needs was a rigorous yet exciting undertaking. Even though the author only employs a story on day one of his piece, anecdotes may also be a beneficial means of keeping the reader's interest peaked throughout the essay. There's more than 1 approach to tell a story. Bear in mind your story should stick out! Y ou don't need to get a story that's one in a million. Unique things to various folks, since the situation demanded. At times it is hard because you own a lot of stories tripping over one another to get onto the webpage. You will need to present yourself in a manner that is certain to grab attention. Don't forget to begin your essay strongit should have the capability to spark the interests of your readers. Get your creative juices flowing by brainstorming all the potential ideas you can imagine to tackle your essay question. Once you own a topic, it's best to make an outline of ideas. To accomplish this, brainstorm on topics that you're passionate about. To produce a good bit of writing, one must be craft a very good introduction since it is the very first thing a reader reads after the subject of the war essay. While writing a personal narrative, you should concentrate on only one experience. You have to remember an essay example needs to have a severe tone to it, or in different words, it shouldn't be humorous. Follow your inspiration but don't neglect to maintain an academic tone in writing.

Dangers Of Tattooing Essay - 864 Words

The Dangers of Tattoos nbsp;nbsp;nbsp;nbsp;nbsp;Many people think that tattooing is dangerous. Part of this is because people don’t think that the tattoo artists sterilize their materials. Others believe that tattoos have a high risk of infection. And the most commonly reported problems are allergic reactions. Others feel as though the pain factor is too immense. Although these fears are common they are easily prevented. Most of the people who believe these things aren’t fully informed with information. nbsp;nbsp;nbsp;nbsp;nbsp;The sterilization process for the materials used is extremely important. This reduces risks of several things including infection and disease. When people think of sterilization and risk factors†¦show more content†¦nbsp;nbsp;nbsp;nbsp;nbsp;Infection is another significant hazard. The degrees of infection vary in seriousness. The least serious of infection is where the tattoo is swollen or sore. Running cold water and keeping it dry fix this type of infection. It heals if treated correctly and is not very painful. Another type of infection is where the tattoo will ooze pus. This is a more serious type of infection and needs to be treated by a doctor. This type of infection normally only happens if you pick at scabs while the tattoo is healing which is definitely preventable. Although a doctor must treat the infection it is usually only to prescribe antibiotic cream or ointment. The most serious type of infection is gangrene. This is very rare and doe s not happen often. It results in not getting proper care of an open infection. If this happens one should seek medical attention immediately and also let the tattoo place know. Basically infection can be prevented with proper aftercare of the tattoo, which is provided by the tattoo parlor. nbsp;nbsp;nbsp;nbsp;nbsp;The biggest problem with tattooing is an allergic reaction. This can be an allergy to ink. It can either be the contents of the ink or even the color. The most common type of allergic reaction is the Red reaction. This is the most common problem expressed by those with tattoos mainly because it can appearShow MoreRelatedLegalizing Tattooing in South Carolina Essay1155 Words   |  5 PagesWhat is tattooing? Tattooing is the art of marking the skin with indelible patterns, pictures, or legends by making pricks and inserting colored ink. The word itself has its origins in the South Pacific. The art had been referred to as pricking, scarring, or staining until explorer Captain James Cook encountered the indigenous peoples of Tahiti. (Wilkinson 6) Tattooing is not just a recent fad. Tattooing has been around for a very long time. The current first proven incident of a tattooRead MorePolemic About Tattooes1028 Words   |  5 Pagespurpose. Now I don’t think there are excuses to justify so drastic a way of art, but analyzing the points of view I will try to clarify some questions I still have about this body art such as the reason people have tattoos, â€Å"When did tattooing start?†, the dangers involved in this procedure, the removal of a tattoo and society’s reaction to tattooed persons. Thinking it is weird to have one’s body penetrated many times by a needle to make only a drawing I do not think is worth it. So, why doRead MoreEssay about The Art of Tattoos1110 Words   |  5 PagesTattooing has changed and grown rigorously over the past couple centuries. The practice of tattooing is an ancient one dating back to about 4000 B.C. and is worldwide in its distribution (Roenigk 179). Tattooing has grown to now be considered a mainstream activity and is no longer confined to prison populations, sailors, and gang members. Tattooed bodies now include adolescents, career women, and college students (Millner 425). Throughout all these years, tattoos have been used as protection againstRead MoreFreedom of Self- Expression: Tattoos and Body Piercings at 16 Should be Permitted1232 Words   |  5 Pagesindividual to his/her peers and to society. Styles of dress, language, music, and dance are some of the ways that portray ones own unique symbols, values, and meanings. One other way to show their identity is through body modification, particularly tattooing and body pierci ng. In todays society people have adopted the new style or trend of body modification. There are many reasons in which people obtain piercings and tattoos. Those who modify, manipulate, and mutilate their bodies do so for many reasonsRead MoreThe Structure Of A Building1307 Words   |  6 Pagescentury tattoos were seen as horrible and abnormal, yet as the twentieth century moved by innovation offered route to the pattern. The electric needle made a feeling of accuracy and control. This is the means by which the different plans created and tattooing turned out to be more about expression, as opposed to marking. It is an insurance that tattoo and penetrating craftsmen can be found by the thousands in a metropolitan city. Their type of workmanship may be less difficult to a degree, however itRead MoreTattoo Culture and Influence in Society1780 Words   |  8 PagesTattoo culture and influence in society Nowadays, tattoo has been regarded as a sign of fashion. â€Å"A trend that started growing in America and Europe in the early 90s, tattooing soon became so popular that 36% of Americans aged 25-29 had at least one body tattoo by 2003(Julie Genser 2007).† However, tattoo could probably bring health risks to tattoo carrier. Historically, tattoo originally is the nation’s cultural and symbolic, different tattoo pictures have own meaning and even it is a symbol ofRead MoreBody Modifications: Tattoos and Body Piercings Essay1796 Words   |  8 PagesHow far is too far when it comes to body modifications, such as tattooing and body piercing. Until those who tattoo and pierce to excess, realize the stigma they are placing on the art, the United States government should regulate where and to what degree tattoo artists can legally tattoo or pierce. To answer the question of why people tattoo, one would have to look back to how the early civilization made a living and their opinions on the world around them. Prehistoric people may have been theRead MoreTattoos and Body Piercings791 Words   |  3 Pagesthrough each other but it has now become more of a fashion trend especially among today’s youth. Not only do tattoos and piercings have their own type of fashion but they can also represent many things such as religious traits. Many people ignore the dangers that can come along with tattoos and body piercings, things such as HIV and hepatitis are easily spread through the needles used for these forms of Body Art. Tattoos used to be a trend among the ancient Egyptians as a type of â€Å"ritual† marking. ManyRead MoreIn Southeast Asia, Animism and Buddhism have led to a unique tattoo culture where tattoos have1400 Words   |  6 Pagesmeditating and keeping the five basic precepts at all times. The five precepts are a Buddhist code where followers refrain from killing, stealing, improper sexual behavior, lying, and intoxication. The second source of power in Buddhism, as it relates to tattooing, is that of the tattoo artist’s teacher, and through the teacher, their linage. Tattoos designs do not have inherent power of their own, but when learned from a powerful teacher the power of the tattoo is augmented. Not only must one learn the practiceRead MoreContraband in Prison3832 Words   |  16 Pagescreating weapons made from paper, these individuals are constantly finding new ways to exploit the system to their benefit. Though there is seemingly an infinite amount of different typ es of contraband, the most commonplace items seized are drugs, tattooing equipment, electronics, and weapons. Contraband, as defined by US Legal, refers to property that is illegal to possess or transport. The Arizona Revised Statues define the promoting of prison contraband as a person, not otherwise authorized by law