Assessing and Treating Pediatric Patients with Mood Disorders ???When pediatric patients present with mood disorders, the process of assessing, diagnosing,

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Assessing and Treating Pediatric Patients with Mood Disorders

   When pediatric patients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult patients with the same disorders, they also metabolize medications much differently. Yet, there may be times when the same psychopharmacologic treatments may be used in both pediatric and adult cases with major depressive disorders. As a result, psychiatric nurse practitioners must exercise caution when prescribing psychotropic medications to these patients. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat pediatric patients presenting with mood disorders. 

 

To prepare for this Assignment:
  • Review this week’s Learning Resources, including the Medication Resources indicated for this week.
  • Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of pediatric patients requiring antidepressant therapy.
The Assignment: 5 pages

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632).All papers submitted must use this formatting.

Renewable Energy.

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Hello, I am looking for someone to write an article on Renewable Energy. It needs to be at least 1750 words. The source of solar energy is practically unlimited, and it is accessible and able to be used in many parts of the world. However, to plan and design proper energy conversion systems, solar energy experts must be equipped with appropriate knowledge of harvesting the energy. Trieb (2005), among others, did research on the aspect of solar irradiation, which is electromagnetic radiation from the sun’s rays. They found that outside the earth’s atmosphere, the solar irradiance on a surface perpendicular to the sun’s rays at a mean distance between the world and the sun practically remains unchanged throughout the year. According to Bailey et al. (1997), its value is now accepted to be 1.367W/m2. “This figure is estimated to be about 1,000W/m2 on the earth’s surface when the sky is clear”.

When the sun’s surface temperature is almost 6000K, the sun’s electromagnetic irradiance is spread over wavelengths ranging from 0.3 to 3µm. About 50% of solar irradiance is infrared, 40% is visible light, and 10% is ultraviolet radiation. However, it is challenging to evaluate solar irradiance at the earth’s surface due to its interface with the atmosphere, which contains aerosols, clouds, trace gases, and water vapor that are temporal and vary geographically.

Solar irradiance is typically reduced by almost 90% atmospheric conditions on cloudy days and about 40% on clear, dry days. According to Solomon et al. (2007), solar irradiance on the earth’s surface is 198W/m2 on average.

The two primary components of solar irradiance striking the earth’s surface are: beam solar irradiance, which comes unswervingly from the sun’s disk, and diffuse irradiance, emanating from the whole of the sky other than the sun’s disk. The sum of these two components makes the global solar irradiance.

Some of the factors that determine the magnitude of solar energy used are metrological conditions, demands for energy services, and land availability. The assessment methodologies and the technical potential do vary geographically. As described by Krewitt et al. (2009). The solar electricity technical potential for photovoltaic (PV) cells and the concentrating solar power (CSP) plant depends on the future development of technology improvements, land use exclusion, and solar irradiance availability.

Discussion on freemasons: cultivating ethical behavoiur in civil society.

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Your assignment is to prepare and submit a paper on freemasons: cultivating ethical behavoiur in civil society. This is a very pivotal aspect of the civil society – under which humans live and interact with one another.

Cultivating an ethical behavior within a society is the need of the hour, and more so because any society could do wonders with people who are morally-driven and who know how to interact with one another in an ethical way. This suggests that such people are educated, understand the value systems within a society, are ingrained to do their best at all times and under every situation that comes about, and so on and so forth. These people are generally very clear as per the practical undertakings that they are required to do within the different tenets of the society. They give their best no matter how tough the times are and always look up to the ethically correct people in order to seek inspiration. They usually go out of their way to find solace when the talk goes out loud regarding the ethical behaviors in a society. A civilized society can only come about when people are inclined to give their very best, day in and day out. This is however a very important disposition from a general standpoint and there are absolutely no exceptions to this rule at all.

Moving ahead, it is always very reasonable to find out about the people who are ethically-driven within any society. These people give their best no matter how tough the times are and are thus inclined to be one step ahead of the rest of the community members. They are the active players within any society and thus give their inputs whenever there is one such need. In fact, they give their perspective when there is no requirement of it at all. This is a very interesting aspect because generally these people embody a very positive mindset, one that speaks volumes about their character and personality in essence. Reasoning is provided in the form of their actions and not merely words that are delivered through them.

Discussion on The Other Wonders of the World.

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I will pay for the following article The Other Wonders of the World. The work is to be 5 pages with three to five sources, with in-text citations and a reference page. One of the remarkable architectures of this era is the Swiss Re tower. Its aerodynamic shape which looks like a pinecone has been given a nickname ‘the Gherkin’ by the residents of London. Because of its shape and structure, it is called the 1st environmental office building. Its architect Norman Foster wanted to create a skyscraper that was in harmony with nature. This is the main reason for this oddly shaped pinecone building. The aerodynamic design of the building allows the wind to flow around its surface generating pressure difference and thus natural air ventilation inside the building is produced through wind tunnels that have been designed specifically for this purpose.

The building structure is a double-curved geometry. The Gherkin is structured in such a way that the office space is 450,000 square feet. To build the complex architectural design of the building parametric modeling was used. It has a “circular plan that widens as it rises from the ground and then tapers towards its apex” (Great Buildings). To build this tall tower, a grid of diagonally intertwined steel fundamentals was used as a central core and perimeter. The main reason behind using this was to create triangular structures with diagonal support beams (diagrid) which would act as a load-bearing facet. By using the diagrid, an interior space was created that had no column support. Due to the diagrid, the exterior look of the building was given using thousands of glass panels.

To enter this enormous office building, triangular archways have been made in the structure.

Lloyds Building is another remarkable modern structure of the City of London designed by Richard Roberts. Richard’s design is the most brilliant anyone has seen. It is a combination of an old building and a new building with the use of modern technology. It is a 12 story building which has now become the most controversial architectural topics in the UK. The Lloyds building marks the beginning of a new industrial revolution that is backed by modern technology. The building has 3 main towers and 3 service towers.