intervention and prevention strategies and research and assessment 1

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Part 1

2-3 pages

Write a paper of 2–3 pages about the following:

  • Describe the processes of counseling for substance addiction for the following:
    • Group
    • Family
    • Individuals
  • Identify at least 3 objectives and goals for each modality.
  • Provide an explanation of the relapse prevention plan for each modality.
  • List any references

Part 2

4-5 pages total

Research and Assessment

Part 2a

The local domestic violence shelter has noticed an increase in the number of families affected by substance abuse. They have contacted your agency about providing information on how to serve the needs of this growing population. In your communication, you are to discuss the following:

  • Discuss interventions for substance abuse situations.
  • Describe how to help system (family) members to identify and interrupt harmful interaction patterns and practice healthy interaction patterns.

Part 2b

Privacy, confidentiality, and privileged communication are often used interchangeably.

  • Explain the differences between each of them.
  • What are the limitations of confidentiality?
  • When is there a duty to warn?

 

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Kaizen assignment – custom papers

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Kaizen assignment
Order Description
Review Kaizen 4 step improvement process and use it
Overview
1) Read, Analyze info on manufacturing, engineering ,installs (service )
2) Cross reference to customer’s feedback. 5 customers ‘’issue’’(Plot 5 UP’s-key customer issues/measures
3) Combine input, create AS-IS flow chart (value stream map) for total process with notes on issues in each area (Cross relate to any Data in Rev 2. Data )
4) Do cause-effect Diagram for key problems-5 (Whys) Root cause
5) Create Desired to-be (Future State ) Flow chart
6) Does a Simple Gantt chart with plausible time frames for various improve initiatives?
GEN X Service group data
Type
DATE    # Service calls        Code probs    Miss parts    Equip Fail    Training    Calibration    Other
Q1 2010    330        135    25    40    45    70    15
Q2 2010    280        110    30    26    38    55    21
Q3 2010    360        125    44    40    48    65    38
Q4 2010    410        170    40    45    50    80    25
Q1 2011    590        320    66    30    66    95    13
Q2 2011    660        250    45    60    80    180    45
Q3 2011    800        330    70    50    94    165    91
Q4 2011    1400        700    120    60    120    330    70
Q1 2012    1200        500    95    64    110    410    21
Q2 2012    1100        550    90    45    75    330    10
Q3 2012    1600        700    85    82    160    525    48
Q4 2012    1800        950    69    50    55    650    26
Note.  AXIS 2000 introduced to market Q1 2011

 

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Develop Effective Interviewing Strategies

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Imagine that you have taken a
position in which training for effective employment interviewing has been
identified as a major need for managers and supervisors. Your assignment is to
create a PowerPoint presentation geared toward managers and supervisors,
analyzing effective employment interviewing strategies. Your PowerPoint slides
must identify four different employment interviewing methods along with the
advantages and disadvantages of each. Your presentation must also identify and
analyze the potential legal factors in each of the employment interviewing
strategies contained in your presentation. Remember, these managers and
supervisors have not had current training in this important HRM function.

Incorporate appropriate animations, transitions, and graphics as well as
“speaker notes” for each slide. The speaker notes may be comprised of brief
paragraphs or bulleted lists.

Support your presentation with at least three (5) scholarly resources in addition
to your text. In addition to these specified resources, other appropriate
scholarly resources may be included.

Length: 12 slides (with a separate reference slide)

Notes Length: 100-150 words for each slide

Be sure to include citations for quotations and paraphrases with references in
APA format and style where appropriate. Save the file as PPT with the correct
course code information.

 

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Case study lyme disease and peripheral vascular disease

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  Lyme Disease 

Case Study 

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered: 

Studies Results 

Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low) 

Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour) 

Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L) 

Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL) 

Hematocrit (Hct), 36% (normal: 42%-52%) 

Rheumatoid factor (RF), Negative (normal: negative) 

Antinuclear antibodies (ANA), Negative (normal: negative) 

 Diagnostic Analysis 

Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent. 

Critical Thinking Questions 

1. What is the cardinal sign of Lyme disease? (always on the boards) 

2. At what stages of Lyme disease are the IgG and IgM antibodies elevated? 

3. Why was the ESR elevated? 

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment 

 Peripheral Vascular Disease 

Case Studies 

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg. 

Studies Results 

Routine laboratory work Within normal limits (WNL) 

Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) 

Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves 

Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level 

Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery 

 Diagnostic Analysis 

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic. 

Critical Thinking Questions 

1. What was the cause of this patient’s pain and cramping? 

2. Why was there decreased hair on the patient’s right leg? 

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 

4. What would be the treatment of intermittent Claudication for non-occlusion?