Treatment Plan
When a client presents for alcohol addiction, one of the most fundamental facts a therapist should understand is that the substance and its physical effects on the body is seldom the fundamental reason for continued struggle. During the first step of creating a treatment plan, the therapist should therefore consider the underlying psychological and mental conditions that might have led to the first appearance of the abuse or dependence problem, while reasons for relapse should also be closely investigated. In other words, a whole-person approach should be used when assessing the client and creating a treatment plan. This is also the case with James, whose long-term alcohol abuse condition seems closely related to his initial family relationships and later to internalized psychological conditions created by these formative years. As such, the treatment plan should include four basic steps; the assessment, detoxification, active treatment, and relapse prevention.

According to Markowitz (2010),…...

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References

Markowitz, R. (2010, Jun 30). Alcohol Recovery Plan and Individual Treatment Goals. Retrieved from:  http://www.livestrong.com/article/157377-alcohol-recovery-plan-and-individual-treatment-goals/ 

Sellman, D. (2009, March 30). The 10 most important things known about addiction. Addiction for Debate. Retrieved from: http://www.phn-bradford.nhs.uk/NR/rdonlyres/33338B96-B287-472D-868B-8D1D2B6F40F8/0/10mostimportantthingsknowaboutaddiction.pdf

A counselor like any other physician, or medical practitioner must help. That is their first and only objective.
The relationship between a counselor and their client must first and foremost be a beneficial and safe one. If at any point either party begins to feel as though the relationship is no longer helpful, or either party feels threatened in any way then the relationship must be terminated. Treatment should never be denied based on race, creed, religious belief, sexual orientation, or previous criminal history. The letter and spirit of the laws regarding confidentiality and the use of patient's records should also be adhered to. A client must be able to trust that the information disclosed in therapy sessions will not ever be leveraged against them unless they have specific knowledge of a criminal act which results in duly appointed authorities being awarded a subpoena for the records, or they express…...

Intensity of the patient's illness, long-term prognosis, balance between medical and somatic symptoms, and realistic goal-setting will influence the patient's ability to function and his or her treatment (Groth-Marnat, 2009, p.604).
Duration of the treatment course is another factor to consider: Long vs. short-range treatment duration is determined by the intensity of the disorder; its specificity; the age and level of social support of the patient; and the patient's level of 'premorbid' functioning. A phobic anxiety disorder requiring short-term treatment vs. A chronic bipolar disorder provides a contrast in the two different approaches: one is ideal for symptom-focused cognitive behavioral therapy while the other requires more generalized physical and medical treatment. or some disorders, such as borderline personality disorder, no treatment at the time may be indicated, until the patient is willing to use the therapy correctly, and not merely as a way to further his or her disorder (Groth-Marnat,…...

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Finally, the therapist must consider the need to address the patient in a socially specific manner -- a concern called 'high problem complexity.' Patients may benefit from family or couples therapy, when their problem is related to a web of non-functioning social relationships. Some patients with low social support, high rates of introversion, and deeper psychoanalytic issues that resist conventional diagnostic characterization might be helped by non-directive dream therapy or free associative therapy -- these patients might be called 'high internalizers' that require more personalized types of therapy (Groth-Marnat, 2009, p.609). High or low levels of resistance to treatment should also be taken into consideration when creating a program -- particularly given the need to select a therapist whose approach can deal with a highly-resistant client. The patient must be ready to change, and some patients require higher levels of subjective distress before they are willing to do so. Finally, the personality of the therapist should also be taken into consideration, as every theory and design affected by the therapist, as well as the recipient of therapy.

Reference

Groth-Marnat, Gary. (2009). Handbook of psychological assessment. Wiley, pp.595-620

Charlotte Case StudyPart IITreatment PlanningAfter taking into consideration the symptoms that Charlotte presents with, a primary diagnosis was made for Generalized Anxiety Disorder (GAD). In basic terms, GAD, as Patriquin and Mathew (2017) point out, is characterized by excessive anxiety and worry about a number of events or activities (e.g., work, school performance, etc.), which an individual finds difficult to control (47). The relevance of treatment cannot be overstated owing to the fact that this particular condition significantly interferes with the daily functioning of the person diagnosed with the same. It is on this basis that the treatment plan has been developed below.1. Short-Term SMART Goal for TreatmentWeek 13: Ensure that the client comprehends the limiting aspects of GAD and is fully appreciative of the need to embrace the relevant treatment interventions and strategies.TechniquesWeek 1: Discuss with the client her presenting symptoms and how they tie to GAD i.e.…...

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References

Beard, C. (2011). Cognitive bias modification for anxiety: current evidence and future directions. Expert Rev Neurother., 11(2), 299-311.

Glick, S.N. & Golden, M.R. (2010). Persistence of racial differences in attitudes toward homosexuality in the United States. J Acquir Immune Defic Syndrome, 55(4), 516-523.

Hayes-Skelton, S.A & Roemer, L. (2013). A Contemporary View of Applied Relaxation for Generalized Anxiety Disorder. Cogn Behav Ther., 42(4), 104-107.

Treatment Plan: The Case of Felix
Latino male approximately 30-year-old.

Felix is bilingual in Spanish and English and his heritage is very important to him.

He has a divorced mother who might not support his gay relationship

His mother is diagnosed with a problem of bipolar

His mother does not comply with therapy and medication's recommendations

His father had been remarried, Felix did not accept the relationship

His father will have difficulty accepting his gay relationship.

His mother has been remarried

The stepfather is an alcoholic, and usually abuse his mother.

The family lived in a perceived dangerous inner city environment

Felix was encouraged not to move out of the house

elationship with his gay partner

Felix has a long-term committed gay relationship with another man

He met the man in college and they own a home together iii. They have not yet legalized their relationship under the state law

Felix is too constricted and worried in public

v. Felix experiences high level of stress…...

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Reference

Glassgold, J.M. (2009). The Case of Felix: An Example of Gay-Affirmative, Cognitive-Behavioral Therapy. Pragmatic Case Studies in Psychotherapy. 5(1):1-21

Diagnosis and Treatment Plan for Michael's Condition:
Michael is a 7-year-old child, who was referred by the Pediatrician for an analysis following his 2-year-old exam. In the beginning of Michael's development, his mother stated that she has seen similar delays to the doctor's observations and has similar concerns. One of the major concerns is that Michael will not respond to his name when called even if he is only a foot or less away and does not even turn his head towards the voice. Secondly, he has difficulties in following simple instructions, especially one step directions like come here, sit down, or pick up. In addition to failing to use words to say or request what he wants, Michael only repeats a word that is modeled every once in a while. Third, when playing around other children in the two groups, he does not even notice the other children, plays by…...

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References:

"Autism - Symptoms." (2010, April 12). Autism Spectrum Disorders Health Center. Retrieved December 11, 2013, from  http://www.webmd.com/brain/autism/autism-symptoms 

"Autism - Symptoms." (n.d.). Mayo Clinic. Retrieved December 11, 2013, from  http://www.mayoclinic.com/health/autism/DS00348/DSECTION=symptoms 

Schrader, L. (n.d.). Real-World Strategies for Behavior Intervention Plans for Children with Autism. Retrieved December 11, 2013, from  http://www.centerforautism.com/News_and_Events/Presentations/Real%20World%20Strategies%20for%20Behavior%20Intervention%20Plans%20for%20Children%20with%20ASD.pdf 

Smith, M., Segal, J. & Hutman, T. (2013, November). Autism Symptoms & Early Signs.

Group Design
Although Jeff does not see his drug use as his primary problem, it is in fact at the root of his other issues. The social worker will create a treatment plan that will help Jeff meet three goals: break dependency on oxycontin, get a job, and develop an physical exercise routine.

According to the treatment plan, Jeff will start working on his goals by beginning with individual counseling sessions. The social worker can use motivational interviewing (MI), a technique that can help Jeff understand that he has a drug problem. Once Jeff admits he has a drug problem and that it is causing his other issues, he can make the decision to undergo intervention by entering a detox center or undertake a treatment program. Jeff's goal of getting free of oxycontin is part of his long-term objective, which is to attain and maintain full and sustained recovery. Jeff will…...

conceptualizing a case from a systems-Based perspective?
A systems-based perspective takes into account multiple variables and relationships, including those that may be peripheral to the individual. While conceptualizing the case, the therapist takes into account the client's symptoms, the client's goals, and the client's perspective or worldview. The therapist also considers the various relationship dynamics that are impacting the current set of issues or symptoms. A systems approach also implies that the therapist needs to recognize the importance of family and personal history, even when focusing on a solution-oriented approach to therapy. Using a systems perspective allows the therapist to conceptualize a case thoroughly and with maximum clarity.

Culture, language, religion, ethnicity, age, gender, socioeconomic status, and other aspects of personal identity formation and social belongingness are also integral to a systems-based perspective. Each of these factors will have influenced cognitive variables and also identity formation. When conceptualizing a case, the…...

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References

Gehart, D.R. (2010). Mastering Competencies in Family Therapy. Belmont: Cengage, 2010.

Gehart, D.R. (2010). Chapter 13. [PowerPoint Presentation].

Gehart, D.R. (2010). Chapter 15. [PowerPoint Presentation].

Nurses
Turnover among nurses is a result of dissatisfaction with the workplace. This dissatisfaction could be because of low pay, poor working conditions, and lack of motivation to work as well as a general feeling of disregard for their interests. The management plays a key role in influencing the way in which employees feel and take their work. Therefore, nurses here have to be taken care of concerning their interest. The way the management does work dictates how the nurses will respond the work and the kind of dedication that they will give to the organization (Green & South, 2011).

In the event of occurrence of this kind of dissatisfaction on the part of the nurses, recovery plans will be required. This could include fulfilling the missing offers that the management has failed to give the nurses and making them appreciate their work more. A revision of the modes of treatment…...

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References

Faramarz, I. (2012). Glycemic Management of Type 2 Diabetes Mellitus. The New England Journal of Medicine. 366(14): 1319-27.

Ganong, J., & Ganong, W. (2013). Nursing Management (2d ed.). Rockville, Md.: Aspen Systems.

Green, J., & South, J. (2011). Evaluation. Maidenhead, Berkshire: Open University Press.

Levin, J., Glass, T.A., and Lawrence, K.H. (1997). Quantitative Methods in Research on Complementary and Alternative Medicine: A Methodology Manifesto. Journal of Medical Care. 35.11: 1079-1094.

In particular, cognitive-behavioral therapy has received substantial research to support its effectiveness as an intervention strategy. Yet those interventions that combined psychotherapy and medications have been proven to be the most effective in the military culture. However, the recommendation to consider medication management may be met with resistant by the individual and should be explored in a manner that allows the individual to feel empowered (Silver, Brooks, & Obenchain, 1995). Interventions that occur early on in the symptomatic process can also result in fewer individuals developing PTSD.
In order to successfully treat the post-combat individual, a clinician utilizing CBT needs to be able to assist the individual in identifying the role that their coping strategies played in keeping them safe and stable during deployment and in combat situations (Owens et al., 2009). Despite the positive role that these strategies played in survival, these maladaptive coping strategies often make community reintegration…...

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References

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC: Author.

Owens, G.P., Dashevsky, B., Chard, K.M., Mohamed, S., Haji, U., Heppner, P.S., & Baker, D.G., (2009). The relationship between childhood trauma, combat exposure, and posttraumatic stress disorder in male veterans. Military Psychology, 21(1), 114-125.

Seal, K.H., Metzler, T.J., Gima, K.S., Bertenthal, D., Maguen, S., & Marma, C.R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008. American Journal of Public Health, 99(9), 1651-1658. doi: 10.2105/AJPH.2008.150284

Silver, S., Brooks, A., & Obenchain, J. (1995). Treatment of Vietnam War Veterans with PTSD: A Comparison of Eye Movement Desensitization and Reprocessing, Biofeedback, and Relaxation Training. Journal of Traumatic Stress, 8(2), 337-342.

Diagnosis and Treatment
Treatment of Susanna Kaysen from the film "Girl, Interrupted."

The central people focused on in the movie to bring out the disorders here are Susanna and Lisa. Susanna brings out the Borderline Personality Disorder (BPD) in this movie and this is evidenced by the behavioral displays that she shows while in the facility for the mentally challenged.

Diagnosis

According to the Medicine Net, (2012) the manifestations of BPD is seen when the patient displays the following symptoms;

The patient has emotional swings such that at one point the person may be confident and happy on one day and suddenly gets into a feeling of despair on the next day. They also display feelings of emptiness and anger during such times. This was evident in Susanna as she would interact very well with the Nurse Valerie on one day and relapse on the next day such that the nurse had to force her…...

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References

Medicine Net, (2012a). Borderline Personality Disorder (BPD). Retrieved February 12, 2014 from  http://www.medicinenet.com/borderline_personality_disorder/article.htm

Alternative Treatment Planning
Many health care providers consumers alternative treatments. You asked research alternative treatments offered health care organizations. Acupuncture, herbal remedies, yoga suggested possibilities. Make a plan explore products.

Practice and interest in alternative treatment in the past decade has increased. The growth in alternative treatment has followed changes in physician and patient attitudes Mathur, 2003.

The reference of this treatment as an alternative is falling owing to the wide spread use and acceptance. Treatments such as acupuncture, herbal remedies and yoga have been touted to be successful in healing chronic and terminal illness that, modern medicine has had a hard a time dealing with Mathur, 2003.

With these developments, considering alternative medicine as a peripheral to modern health care is being mistaken. Health care organizations need to plan how to incorporate this alternative medicine in the modern practice.

Planning for alternative healthcare

It needs to be understood by patients and medicine practitioner that exploring…...

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References

DeCoster, C., Peterson, S., Carriere, K.C., & Kasian, P. (1999). Assessing the Extent to Which Hospitals Are Used for Acute Care Purposes. Medical Care, 37(6), JS151-JS166.

Mathur, A. (2003). Who Owns Traditional Knowledge? Economic and Political Weekly, 38(42), 4471-4481.

Mechanic, D. (2005). Policy challenges in modern health care. New Jersey: Rutgers University Press.

Simmers, L. (1997). Diversified Health Occupations Essentials. New York: Delmar Publishers.

Case Summary Client Y is a 33-year-old African-American female with two children aged 3 and 5, and married to a 39-year-old Hispanic male. Client Y presents following a referral by her sister, who thinks that she is under severe emotional distress. Symptoms at the time of presentation included a depressed mood, inability to concentrate, nightmares, sleeping difficulties, and heightened irritability. Client reported that symptoms began 4 months earlier, after a violent encounter with her husband that resulted in serious injury. Client Y was diagnosed with PTSD and placed on Sertraline (Zoloft) 25 mg once daily in addition to once-weekly CBT sessions. The goal of treatment is to ensure that client Y regains control over her life and develops skills to address her symptoms. Four weeks later, the client shows minimal response to treatment. PTSD symptoms are still present. No modifications have been made to the treatment plan this far.
Subjective Content
The client…...

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References

Bruijniks, S. E., Bosmans, J., Peters, F.,…& Huibers, M. (2015). Frequency and Change Mechanisms of Psychotherapy among Depressed Patients; Study Protocol for a Multicenter Randomized Controlled Trial Comparing Twice-Weekly Versus Once-Weekly Sessions of CBT and IPT. BMC Psychiatry, 15(1), 137-47.

Corley, S. O. (2013). Protection for Psychotherapy Notes under HIPAA Privacy Rule: As Private as Hospital Gown. The Journal of Law-Medicine, 22(2), 489-534.

Fergusson, J. M., (2001). SSRI Antidepressant Medications: Adverse Effects and Tolerability. Primary Care Companion to the Journal of Clinical Psychiatry, 3(1), 22-27.

Shi, A., Atlantis, E., Taylor, A. W., Gill, T., Price, K., Appleton, S., Wong, M., & Licinio, J. (2017). SSRI Antidepressant Use Potentiates Weight Gain in the Context of Unhealthy Lifestyles: Results from a 4-Year Australian Follow-Up. BMJ Open, 7(8), doi: 10.1136/bmjopen-2017-016224

Sanchez, C., Reines, E. H., & Montgomery, S. (2014). A Comparative Review of Escitalopram, Paroxetine, and Sertraline. International Clinical Psychopharmacology, 29(4), 185-96.

Intervention of Bonnie
The client for this proposed plan for evaluation and intervention is Bonnie who is a 15-year-old European-American girl in 9th grade. Bonnie was referred to the clinical psychologists by her parents after complaining of fear and anxiety. Based on the information provided to the clinical psychologists, Bonnie is suffering from severe social anxiety disorder, which can also be referred to as social phobia. Social anxiety disorder is usually characterized by an extreme fear of engaging in social situations largely because of the probability of embarrassing one's self in front of others. Bonnie's social anxiety disorder is evident in the fact that she fears doing anything in front of people including eating, meeting new people, using public restrooms, and being surrounded by many people. Her persistent fear of social situations is based on the fact that she fears embarrassing herself in front of others by not knowing what…...

Solution-Focused Therapy: AIDS and Dying Well
Pattern of Questioning

The pattern of questioning that Berg uses in "Dying Well" begins with effective questioning technique. Berg asks Tanya what she hopes or wants to accomplish before death. It is Tanya's response that she wants to confront her past -- so that she can go home and say goodbye to her mother. Her goal is to "get rid of" the past issues that are keeping her from going home -- namely, the abuse she suffered at the hands of her brothers and father (Berg, 2012). She feels that by confronting this issue she can avoid having a bad encounter with her family if she goes home.

Berg asks Tanya, "What difference will it make?" if she confronts this issue and "gets rid of" the problem she is having about her feelings of hate for her brothers and father. Tanya talks through this issue, trying to…...

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References

Berg, I. K. (2012, October 4). Dying well. Milwaukee, WI [Video File].

 http://www.viddler.com/v/c5249886?secret=64169979 

Gerhart, D. R.(2014) Mastering competencies in family therapy Belmont, CA: Brooks-

Cole, Cengage Learning.

1. Bronchiectasis: A Comprehensive Review of Pathophysiology, Diagnosis, and Management

Introduction: Define bronchiectasis and highlight its prevalence, etiology, and risk factors.
Pathophysiology: Discuss the mechanisms leading to bronchiectasis, including impaired mucociliary clearance and chronic inflammation.
Clinical Manifestations and Diagnosis: Describe the typical symptoms, physical exam findings, and diagnostic tests used to identify bronchiectasis.
Management: Review the current treatment options for bronchiectasis, including antibiotics, airway clearance techniques, bronchodilators, and surgical intervention.
Prognosis and Complications: Discuss the long-term outcomes and potential complications associated with bronchiectasis, such as respiratory failure and hemoptysis.

2. Role of Imaging in Bronchiectasis: CT, MRI, and Beyond

Introduction: Highlight....

1. The role of a substance abuse nurse in promoting and providing support for individuals struggling with addiction
2. The impact of substance abuse on mental health and the role of nurses in managing co-occurring disorders
3. The importance of culturally competent care in substance abuse nursing
4. The challenges and rewards of working with individuals with substance use disorders in a nursing setting
5. The ethical considerations of caring for patients with substance abuse issues
6. The role of education and prevention in addressing substance abuse from a nursing perspective
7. The impact of substance abuse on families and the role of nurses in supporting....

1. The Impact of Substance Abuse on Families and Communities

Substance abuse has far-reaching consequences that extend beyond the individual abuser. It can have a devastating impact on families and communities, leading to a range of social, economic, and health problems. This essay topic explores the ways in which substance abuse affects families and communities, including the increased risk of domestic violence, child abuse, and neglect, as well as the financial burden of substance abuse treatment and the strain on community resources. It also examines the role of nurses in addressing the impact of substance abuse on families and communities, through....

I. Introduction
A. Explanation of artificial intelligence (AI)
B. Importance of AI in healthcare
C. Overview of the topic

II. History of AI in healthcare
A. Early developments
B. Progress over the years
C. Current use in the healthcare sector

III. Benefits of AI in healthcare
A. Improved diagnostics
B. Enhanced treatment planning
C. Personalized medicine
D. Efficient patient care

IV. Challenges of AI in healthcare
A. Data privacy concerns
B. Ethical implications
C. Integration with existing systems

V. Future of AI in healthcare
....