Treatment Plan for Psychotherapy

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Decision #2:

Treatment Plan for Psychotherapy

Fluvoxamine immediate release 25mg orally daily

Reason for the Selection

Food and Drug Administration authorize fluvoxamine for the treatment of OCD in children eight years and older (Stahl 2014). Fluvoxamine immediate release 25mg orally daily is the medication of choice. Fluvoxamine influences synthetic compounds in the brain that might be uneven in individuals with obsessive-compulsive symptoms. Selective serotonin reuptake inhibitors affect neurotransmitters, chemicals that nerves in the brain use to communicate with each other. Neurotransmitters are released by nerves which travel across the spaces between nerves and then attach to receptors on other nerves.

Patient and family will be educated about the side effects of fluvoxamine which are drowsiness and fatigue, headache, sleeping problems, decreased libido, decreased sexual functioning, gastrointestinal problems, dizziness, nervousness, sweating and tremors. These side effects typically get better after taking the medication for a while (Ordacgi, Mendlowicz, & Fontenelle, 2017).

Cognitive Behavior Therapy (CBT) has proven to be useful in the treatment of OCD. CBT is created on the impression that distorted thoughts or cognitions cause and preserves harmful compulsions and obsessions (Foa, 2017). Exposure and response prevention (ERP) is an active form of behavioral therapy. ERP expose the patient to anxiety that is activated by the obsessions and after that preventing the utilization of rituals to lessen the uneasiness. This cycle of exposure and reaction prevention action is repeated to the point that the patient never again troubled by the fixations as well as impulses (Foa, 2017).

The objective of treatment is complete remission of current indications and additionally aversion of future backslides. Treatment regularly decreases or even eliminates manifestations, however not a fix since signs can repeat after the medication is stopped or therapy not completed.

Expected Result with this Decision

The expectation is that Tyrel will show some sign of improvement from taking the medication when he returns in about four weeks. Fluvoxamine allows serotonin to accumulate; serotonin depletion is thought to obsessions (Ordacgi, Mendlowicz, & Fontenelle, 2017). Tyrel’s mother verbalized that he had been some reduction in his symptoms and that he seemed little relaxes and had decreased handwashing. Tyrel had been able to go out and play with his friend which he had not done for a while. Tyrel seems to be having a little bit of problem embracing school, but his attendance has improved.

Difference between Expected Result and the Achieved Result with Decision #2

There was no difference between the expected outcome and proficient outcome because a low dosage of fluvoxamine was recommended. The patient can result in any case advantage by increasing the medication dose. Thus, it is suitable to increase fluvoxamine dosage at sleep time since the patient is reacting great to treatment administration.

 

 

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Explain how you would communicate the importance of the practice to your colleagues.

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Part 1
Write a 3page paper that includes the following:
¥ A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
¥ The 5 questions you have generated and a description of how you analyzed them for feasibility
¥ Your preliminary PICOT question and a description of each PICOT variable relevant to your question. Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections.
¥ Reminder: submitted include a title page, introduction, summary, and references. Integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

Part 2
Write a 3 page literature review that includes the following:
¥ A synthesis of what the studies reveal about the current state of knowledge on the question (In hospitalized critically ill patients how does turning and repositioning every 2-4 hours compare to the use of pressure redistributing support surfaces in preventing the occurrence of pressure ulcers)?
? Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
¥ Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
¥ Your literature reviews summary table with all (5) references formatted in correct APA style included in the body of your paper. Integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.
Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies. Reminder: submitted include a title page, introduction, summary, and references.
Part 3
In a 4 page paper:
¥ Restate your PICOT question and its significance to nursing practice.
¥ Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
¥ Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?
¥ Reminder: submitted include a title page, introduction, summary, and references. Integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

 

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I have two show two ways to find the average of strokes per round of golf the numbers i have…

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I have two show two ways to find the average of strokes per round of golf the numbers i have are the total par is 72 round 1=74 round 2=73 round 3=76 round 4=69 round 5=70 round 6=71 round 7=74 round 8=73 round 9=68 round 10=71

 

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Media Options, marketing assignment help

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Purpose of Assignment

The purpose of this assignment is to creatively illustrate traditional and new media options. An understanding of the target audience and effective communication for each is a desired outcome. It provides the Learning Team the opportunity to creatively illustrate traditional and new media options. An understanding of the target audience and effective communication for each is a desired outcome.

Assignment Steps

As a Learning Team choose a brand (different from the Week 3 Learning Team Assignment) and a related brand strategy.

Create a Microsoft® PowerPoint® presentation, Prezi, or Vimeo video, etc. which illustrates one traditional media option (print, TV, radio, billboard, etc.) and one new (social media) media option for your brand and brand strategy. The presentation should be a minimum of 7-10 slides or, if Prezi or Vimeo video, an 8-minute minimum.

Note: Prezi presentations cannot be uploaded to the classroom. Please provide your instructor with the link to the presentation on the web. Prezi will provide you with a URL link to the presentation.

Discuss in a minimum 700 words the differences between the traditional media option and the new media option in terms of audience, reach, channel and content. A table of differences may be used to concisely illustrate the differences but you must include a discussion of insights/concerns/issues between the media options.

Note: Charts/graphs/tables in your Microsoft® Word write-up do not count towards the word count.

Cite a minimum of three peer-reviewed references.

Format your assignment consistent with APA guidelines.

Click the Assignment Files tab to submit your assignment.

Okay this is the subject : use Tittos the rapidly growing Texas based Vodka Distiller gearing toward audiences of 21 and older audiences with brand strategy of social media (Facebook).

 

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