• You are approached by a potential client suffering from clinical depression. He has been treated on and off by doctors for over 20 years‚ has a lifestyle of moving around and engaging in hedonistic activity. He is not currently registered with a doctor. He wants to use CBT to control his depression alongside smoking cannabis. How would you respond to this case? 1. Only accept him with signed GP consent and liason with the GP in relation to treatment 2. Goals – medication compliance and reduction
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dated 08/18/2016‚ patient was prescribed with Norco. Based on the progress report dated 09/06/16‚ the patient presents for ongoing evaluation of her chronic low back pain. The patient states that her back pain radiates down to the lift hip‚ and her pain is 10/10 when most bothersome without medication. With medication‚ her pain is able to be rated to a 5/10. When she takes her medication‚ she is able to get up and take a shower‚ she is able to go to the grocery store‚ she is able to do some laundry
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radiculopathy‚ lumbar region. As per OMNI notes‚ the patient is diagnosed with history of right L5-S1 tear‚ low back pain‚ right quadratus lumborum strain‚ and paresthesias. He underwent lumbar laminectomy at L5-S1‚ and L3-L4 and L4-L5 decompression of the nerve root on 2/24/2016. As per progress report dated 6/6/2016‚ the patient complains of lumbar pain. He states that the symptoms are mild. The pain is aggravated by extended walking. He returns after 3 months postoperative
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complaining of neck pain. HPI The patient tells me her symptoms started in early August. She had been away on vacation. She was sleeping on an air mattress. One night realized that the air mattress was not fully inflated‚ but slept anyway and she awoke the next morning‚ she was having some neck pain. She said initially she attributed just to sleeping wrong. She had pain for a couple of days. She took a few days worth of Advil and felt better. She said following that‚ the pain restarted without
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and how it can be used to develop a caring and compassionate culture within the clinical team. Firstly‚ it will discuss the notion of leadership in general terms‚ specific to health and current health policy. Secondly‚ it will consider reasons we need to develop a culture of compassion and caring with the nursing teams. Thirdly‚ it will discuss how effective leadership can inspire and develop an established clinical team and finally‚ it will link the concept of leadership to the development of a
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Clients experiencing depression who are receiving services with private practice clinicians should be adequately assessed and well educated regarding their condition. The clinician should seek information pertaining to the source of the depression‚ and a variety of treatment options should be made available for the client. I strongly agree with Dr. Goodman‚ clients should be told the truth about the causes of depression and not commonly used metaphors‚ such as the serotonin theory (Lacasse & Leo
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Electrolyte | Hypo | Cause | Clinical Manifestations | Hyper | Cause | Clinical Manifestations | Sodium (Na+) | <125 meq/L | * Inadequate intake * Hypoaldesteronism * Excessive diuretic therapy * Furosemide * Ethacrinic acid * Thiazides | * Extracellular volume contraction and hypovolemia (but may not if water excess) * Increased intracellular water; edema * Brain cell swelling‚ irritability‚ depression‚ confusion * Systemic cellular edema‚ including weakness‚ anorexia
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is mainly clinical and management is based on Westley croup score‚ where dexamethasone is administered and the child admitted or discharged. Methodology – Retrospective study . 50 casualty cards with the diagnosis of croup was picked up randomly between the months of October and November 2005 and the management of each case was recorded. Results - Croup score was assessed in only 24% cases.However‚ dexamethasone was given in 86% cases.Pulmicort nebulisations was given in 24% cases and information
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inspiration and expiration. Ineffective Airway Clearance r/t Pleuritic pain as evidenced by Ms. Saxon reporting that her chest is sore after coughing/ sounds heard during auscultation. Ineffective breathing pattern related to presence of tracheo-bronchial secretions and nasal secretions Risk for activity intolerance related to impaired gas exchange as evidenced by inability to complete tasks. Acute Pain Nursing Diagnosis: Pain‚ acute May be related to Inflammation of lung parenchyma Cellular reactions
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never obtains a cholecystokinin (CCK) stimulus to empty; thus‚ the concentrated bile remains immobile in the lumen. Cholecystitis regularly shows as a pain in the right upper quadrant. The gallbladder may possibly be tender and distended. Pain is in the beginning intermittent‚ but then it presents as constant and severe. The pain may be referred pain that is felt in the right scapula instead of the right upper quadrant. It may also show a relationship with eating fried‚ greasy‚ fat foods. Diarrhea
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