This week, you will finalize and submit your PICO question and submit your completed search strategy sheet along with your PICO question.
my topic is DVT educating people from multicultural backgrounds on early warning signs of DVT in the ER
Author: admin
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“Improving DVT Education in Multicultural Communities: A PICO Approach”
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“Relapse Prevention Planning: Addressing Triggers and Creating a Treatment Plan for Bob”
For this assignment, you will create a maximum 4-page document that includes an explanation of the purpose of relapse prevention planning, discussion of different types of relapse triggers, and proposed relapse prevention plan.
In your essay, assume that you are an addiction professional who will work the client in the scenario.
Explain the purpose of relapse prevention planning (briefly).
Describe the three types of triggers that can lead to a lapse (e.g., emotional, mental, and physical).
Using the scenario below and the treatment plan outline in your text (p. 435), design a relapse prevention plan. Include three different treatment goals that address the specific triggers in the scenario. Assume that you are his addiction counselor and seeing him after a series of relapses.
Scenario: Bob
Bob is a 22-year-old Caucasian, heterosexual male who graduated from college two years ago. He works as a real estate broker with a very successful company. During the last two years, he worked very hard to earn enough money to rent an apartment in a great area of town. To maintain his new lifestyle, Bob works over 60 hours a week, often through the weekends. This is the first time that he has lived alone and he admits that he feels lonely at times. Bob reports that he spent the first year of living alone trying to find activities to occupy his time when he was not working. He stated that during these lonely times, he struggled with whether he could start drinking again (he was in recovery), just one or two beers at a time. He remembered how that helped him “take the edge off” and eventually began to drink again. However, this did not help him relax the way he remembered.
So, to “blow off steam,” he began throwing wild parties at his apartment, inviting his old college and high school friends. He encouraged them to bring other people so that the apartment is full of people. During the parties, he drinks 6–7 beers, smokes cannabis, and occasionally “does a little molly.” This is not affecting his work or personal life, according to Bob. He reports that he feels great after these parties and thinks that celebrating occasionally is not hurting him. He also reported that during these parties, he began having unprotected sex and liked how “risky” it felt. Unfortunately, he has contracted an STD in the last month. Bob stated that he just must take medication for it, so it is fine with him.
Last week while driving to work, Bob was arrested during a routine traffic stop for possession of a bag (50 pills) of MDMA, which is a felony charge. He is mandated to treatment because of his past charge of cannabis possession (four years ago). He was mandated to 6 months of outpatient treatment for that charge. He must once again complete treatment as part of his probation agreement. He was sober for two years before this relapse.
Your assignment should be a maximum 4-page expository essay, not including the title and reference pages, and should include the following elements:
Title page: Provide your name, title of assignment, course and section number, and date.
Body: Answer all the questions in complete sentences and paragraphs.
Your responses should reflect professional writing standards, using proper tone and language. The writing and writing style should be correct and accurate, and reflect knowledge of skills and practice in the human service profession.
Reference page: Sources listed in APA format.
Use Arial or Times New Roman 12-point font, double-spaced and left aligned.
Use standard 1″ margins on all sides.
Use APA formatting and citation style. -
Title: Analyzing Race in Latin America: A Synopsis and Personal Reflection on an Article Part 1: The article “Race and Racialization in Latin America: An Introduction” by Mara Loveman and Jerónimo Oya examines the
Part 1: Write a short synopsis of the article you read. What is the author’s hypothesis? What kind of data are they analyzing- interviews? Literature? Film? Their own observations? Give a little bit of detail about their methods (Rather than just “Ramos interviewed people,” write “Ramos interviewed several immigrant families crossing the border of Costa Rica and Panama.”) What conclusions do the authors come to?
Part 2: Write a paragraph or two about your own opinions, answering the following questions: Do you agree with the author’s arguments? Why or why not? If you had the same question or hypothesis as the author, how would you research the answer? How does this article relate to what we have already talked about in class (provide a specific example from class)? How does this relate to things you have learned in other classes, seen on social media or the news, etc.?
Part 3: If you had to lead a discussion on race in Latin America, what are two questions you would ask? They can relate to your article, or they can relate to other aspects of the topic that interest you. Come up with questions that would spur a discussion, not just ones that can be answered with “yes” or “no” or other one-word answers.
Type your answers double or single-spaced in 12-point font. Be sure to cite the article when applicable (there will be instructions on Canvas) and include a works cited section that lists the article you read.
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“Final Editing and Proofreading of 12,000 Word Dissertation”
I need help with the final Editing and Proofreading of me 12000 word dissertation.
I’m inviting the same tutor that handled the writing for this.
The details details for the edit had been attached and the edits to be done are in the comment section of the document. -
“Developing a Forward-Thinking Digital Campaign: Leveraging Key Learnings and Best Practices”
For your final project, you will assume the role of an account executive with a small marketing firm that specializes in digital advertising campaigns. You have been asked to develop a digital strategy for a client who wants to develop a forward-thinking digital campaign that leverages key learnings from past campaigns. The proposed strategy should be based on the client’s campaign goals, budget, and timelines, as well as the lessons learned from the previous campaign.
The campaign proposal will include an overview of the campaign, including an executive summary, channel selection and rationale, a SWOT analysis, and evaluation methodology. Other components include a content plan, media plan, and recommendations for campaign enhancements.
To effectively address the required critical elements, you will use the information from the Client Packet. You will also use the Campaign Toolkit, which includes templates and other resources to use when developing the campaign proposal.
The proposal will demonstrate your knowledge of digital channels and related marketing strategies, including their pros and cons, methods of evaluation, and legal and ethical risks and considerations. -
“Managing Depression in Pregnant Women: FDA-Approved Medication, Off-Label Drugs, and Nonpharmacological Interventions” “Managing Psychiatric Medications during Pregnancy: Risks, Benefits, and Clinical Guidelines for Prenatal Depression” “Managing Antenatal Depression: A Review of the Use of SSRIs and Non-Pharmacological Treatments during Pregnancy”
Week 9: Prescribing for Pregnant Women.
Introduction
The purpose of this discussion is to review FDA-approved medication, off-label medications, and nonpharmacological interventions for the treatment of pregnant women. Elucidate the risk evaluation employed to guide treatment decision-making, the hazards and advantages of the FDA-approved medication, and the hazards and advantages of the off-label pharmaceutical. Clarify the presence of clinical practice guidelines for this disease and employ them to substantiate the suggestions, and if none is listed, specify the necessary information that should be considered.
Symptoms of depression such as feelings of sadness, irritability, or emptiness, along with physical and mental changes such as difficulty concentrating, inability to experience pleasure, feelings of hopelessness, loss of appetite, disrupted sleep, and thoughts of suicide, greatly impair a person’s ability to function. Antenatal depression is the occurrence of depression during pregnancy. The prevalence of depression during pregnancy and postpartum is significant. Women with a preexisting history of depression are very likely to experience depression again during pregnancy. Obstetricians, gynecologists, and physicians should conduct a screening for prenatal depression using a standardized test at least once throughout pregnancy (Jahan N, et al., 2021).
FDA-approved, off-label drug, and nonpharmacological intervention
According to Hardy, L. T., & Reichenbacker, O. L. (2019), when formulating treatment recommendations, it is crucial to consider the potential consequences of not treating or inadequately treating mental illness during this period. Clinicians and patients typically experience dread and discomfort when considering the use of psychiatric drugs during the perinatal period. As an initial approach, nonpharmacologic psychotherapy is the option for pregnant women experiencing mild to moderate depression. Interpersonal psychotherapy and behavioral activation therapy along with a recommendation for consultation with a psychologist are evidence-based psychotherapies that have demonstrated effectiveness in the treatment of perinatal depression. Behavioral activation therapy has demonstrated a considerable reduction in depression symptoms and an improvement in remission rates when compared to normal treatment.
Risk assessment for the treatment decision-making
The occurrence of depression during pregnancy can have substantial ramifications for both maternal and fetal well-being. Prenatal depression has been associated with negative consequences, such as delayed fetal development, miscarriage, underweight newborns, premature labor, maternal anemia, diabetes, hypertensive disorders such as preeclampsia, cesarean sections, and postpartum depression. Offspring born to moms experiencing prenatal depression frequently exhibit heightened irritability, less activity, and an elevated probability of enduring developmental delays. Additionally, prenatal depression increases the likelihood of experiencing postpartum depression and can negatively impact the health and development of the newborn if the mother is depressed for a prolonged duration. Both professionals and patients need to carefully consider the trade-off between the hazards of untreated psychiatric illness and the potential negative consequences of medication exposure on the well-being of the fetus (Hardy, L. T., & Reichenbacker, O. L. 2019).
Prioritizing the selection of a prompt and efficient therapy with less or no negative effects on the mother or infant is of utmost importance in medical care. When assessing the risk-benefit ratio of treating prenatal depression, multiple aspects are considered. Firstly, the drug should be administered at the most effective dose that yields the best response while keeping side effects manageable for the woman. Secondly, regular assessment of symptoms is necessary, as adjustments may be needed to maintain optimal antidepressant effectiveness due to changes in how the body processes the drug during pregnancy. Lastly, after giving birth, the dosage should be adjusted to accommodate the woman’s transition from pregnancy to the nonpregnant state while considering breastfeeding (Maureen S et al., 2020).
Risks and benefits of the FDA-approved medicine.
The baby is at risk of experiencing birth deformities, heart problems, and other abnormalities caused by pharmacological treatments. According to Betcher H. & Wisner K. (2020), the Pregnancy and Lactation Labeling Rule by the Food and Drug Administration (FDA) requires practitioners to evaluate the dangers of untreated sickness and the possible negative effects of medication on pregnancy and the health of the infant. Perinatal outcomes encompass miscarriage, significant congenital abnormalities, premature birth, stillbirth, indicators of neonatal adjustment, and behavioral and developmental consequences. Psychiatric diseases and the drugs used to treat them affect these domains. Olanzapine and quetiapine have been associated with an increased likelihood of developing gestational diabetes. Drug doses may require adjustment during pregnancy to maintain effectiveness, as pregnancy causes significant physiological changes and increased hepatic metabolism. SSRIs such as fluoxetine (Prozac) and sertraline (Zoloft) were frequently classed as Category C, suggesting that their safety during pregnancy had not been thoroughly proven and that their usage during pregnancy would depend on the situation (Fedrizzi S, A. 2023).
Risks and benefits of the off-label drug
Off-label prescriptions involve the use of medications in ways that are not officially approved or indicated by regulatory authorities. This might include repurposing drugs for different uses, as well as using different dosages or durations than what is prescribed. Antipsychotics are used off-label during pregnancy for treatment as antiemetics or for sleep purposes. Cessation of off-label antipsychotic medications during pregnancy heightens the likelihood of relapse in depression and bipolar (McDonald M, & Alhusen J. A 2022).
Clinical guidelines for prenatal depression
According to McDonald M, & Alhusen J. A (2022), Perinatal depression affects around 1 in 7 women and is recognized as the most prevalent consequence of pregnancy and childbirth. A study revealed that maternal depression during pregnancy is correlated with an increased likelihood of preterm birth, small for gestational age, stillbirth, low birth weight, and maternal morbidity, which includes perinatal problems, higher rates of surgical delivery, and postpartum depression. To avoid these negative consequences, it is important to conduct screenings for depression, closely monitor individuals, and effectively manage the condition while taking into account the balance between potential risks and benefits. Addressing this problem during pregnancy is a multifaceted matter, necessitating healthcare providers to meticulously evaluate the advantages and drawbacks of medication.
Healthcare practitioners should consider prevalent obstacles to treatment, such as insufficient screening and societal prejudice. Identifying and treating this issue can decrease the prevalence of suicides among perinatal women experiencing depression, as well as mitigate the potential negative impacts of untreated maternal depression on their child’s cognitive and behavioral growth. screening all pregnant and postpartum women for perinatal depression is now considered a reimbursable medical cost. Regular counseling sessions can effectively prevent perinatal depression in certain patients. Recently authorized parenteral drugs provide quick relief for symptoms in cases of mild to severe illness. Studies suggest that biomarkers, specifically epigenetically changed genes, could potentially be used to predict prenatal depression (Fedrizzi S, A. 2023).
Food and Drug Administration developed a system that determines the teratogenic risk of drugs by considering the quality of data from animal and human studies. The FDA divides all medications taken during pregnancy into five groups: A, B, C, D, and X. Pregnancy is not advised in any circumstance to use category X products; category A is thought to be the safest category. This gives the clinician therapeutic direction. After controlling for confounding variables related to underlying psychiatric disease, SSRI drugs are not linked to greater incidents of birth abnormalities or long-term impairments in mental development. During pregnancy, SSRIs such as fluoxetine (Prozac), escitalopram (Lexapro), sertraline (Zoloft), and citalopram (Celexa) can be used as antidepressants. Premature birth and high blood pressure in the expectant mother are among the risks. These are not very big dangers. Throughout your prenatal care, your healthcare team keeps an eye out for these (Fedrizzi S, A. 2023).
Conclusion
Early identification and intervention are crucial in addressing antenatal depression due to the potential risks it poses, including perinatal problems, heightened likelihood of surgical delivery, and the development of postpartum depression, which can adversely affect maternal well-being. The objective of perinatal mental health treatment is to effectively provide medication to alleviate the physical and psychological challenges caused by mothers’ psychiatric disorders. Engaging in regular monitoring of symptoms during pregnancy and after giving birth, as well as making necessary adjustments to medication dosage to maintain effectiveness, is considered a commendable approach.
Depression during pregnancy is a prevalent condition, however, it is frequently not recognized due to the tendency to attribute its symptoms to the pregnancy itself. It is advisable to utilize selective serotonin reuptake inhibitor antidepressants, specifically fluoxetine, as they have not been linked to causing birth defects. Additionally, non-pharmacological treatments including psychotherapy, mindfulness, and aerobic exercise should be used. Providing education to healthcare providers will enhance their ability to accurately diagnose and treat this illness.
References
Betcher HK, & Wisner KL (2020). Psychotropic Treatment During Pregnancy: Research Synthesis and Clinical Care Principles. J Womens Health (Larchmt). 2020 Mar;29(3):310-318. doi: 10.1089/jwh.2019.7781. Epub 2019 Dec 3. PMID: 31800350; PMCID: PMC7207058.
Fedrizzi S, A. (2023). Benefits and Risks of Antidepressant Drugs During Pregnancy: A Systematic Review of Meta-analyses. Pediatric Drugs. 2023 May;25(3):247-265. doi: 10.1007/s40272-023-00561-2. Epub 2023 Feb 28. PMID: 36853497.
Hardy, L. T., & Reichenbacker, O. L. (2019). A practical guide to the use of psychotropic medications during pregnancy and lactationLinks to an external site.Links to an external site.. Archives of Psychiatric Nursing, 33(3), 254–266. https://doi.org/10.1016/j.apnu.2019.04.001Links to an external site.
Jahan N, et al (2021). Untreated Depression During Pregnancy and Its Effect on Pregnancy Outcomes: A Systematic Review. Cureus. 2021 Aug 17;13(8):e17251. doi: 10.7759/cureus.17251. PMID: 34540477; PMCID: PMC8448270.
Maureen S et al., (2020). “Perinatal Depression: A Review.” Cleveland Clinic Journal of Medicine, vol. 87, no. 5, May 2020, pp. 273–277, www.ccjm.org/content/ccjom/87/5/273.full.pdf, https://doi.org/10.3949/ccjm.87a.19054Links to an external site..
McDonald M, & Alhusen J. A (2022). Review of Treatments and Clinical Guidelines for Perinatal Depression. J Perinat Neonatal Nurs. 2022 Jul-Sep 01;36(3):233-242. doi: 10.1097/JPN.0000000000000661. PMID: 35894719. -
“Understanding Probable Cause and Reasonable Suspicion: A Comprehensive Training for Law Enforcement Officers” “The Role of Agencies in Upholding Constitutional Law: An Analysis of Agency Power and Accountability”
Reply
UNIT 4 – DISCUSSION BOARD
Sun 1/21/2024 11:28 AM
All Actions
Constitutional Law: CJUS424
Bachelor of Science in Criminal Justice
January 21, 2024
Outline: The Fourth Amendment
Slide 1: Title and Introduction
Title: “Training Law Enforcement on Probable Cause v. Reasonable Suspicion”
Name and Credentials
Brief Introduction: “15 years of investigative experience and membership in a law enforcement professional organization etc. “
Slide 2: Importance of Training
Highlight the significance of understanding Probable Cause and Reasonable Suspicion.
Emphasize the impact on effective law enforcement and fair prosecution.
Slide 3: Constitutional Foundations
Overview of the Fourth Amendment.
Establish the legal basis for Probable Cause and Reasonable Suspicion.
Slide 4: Definitions and Standards
Define Probable Cause and Reasonable Suspicion with legal standards.
Emphasize the distinction between the two concepts.
Slide 5: Contemporary Case Law Examples
Use real cases to illustrate Probable Cause and Reasonable Suspicion.
Discuss outcomes and implications.
Slide 6: Factors in Reasonable Suspicion
Identify factors and considerations for Reasonable Suspicion.
Highlight nuances and differences from Probable Cause.
Slide 7: Q&A and Discussion
Encourage questions and open discussion.
Foster a collaborative learning environment.
Slide 8: Conclusion
Summarize important takeaways.
Express the vital role of trainers in ensuring successful law enforcement practices.
Justice Mann
Reply
UNIT 4 – DISCUSSION BOARD
Sun 1/21/2024 1:14 PM
All Actions
I. Introduction
A. Brief introduction of the presenter’s background as a decorated law enforcement officer with 15 years of experience in investigations
B. Mention of the presenter’s membership in a regional professional organization for law enforcement officers
II. Overview of the Training A. Description of the upcoming annual conference and the “Probable Cause v. Reasonable Suspicion” training B. Emphasis on the importance of the training being a “train the trainer” event.
III. Fundamental Concepts A. Definition of Search and Seizure
Explanation of the constitutional basis for search and seizure
Importance of understanding and respecting individuals’ Fourth Amendment rights
B. Regulation of the Fourth Amendment
Discussion of the entities regulated by the Fourth Amendment
Emphasis on the Fourth Amendment’s application to law enforcement activities
C. Reasonableness and Warrant Clauses
Explanation of the reasonableness clause
Overview of the warrant clause and its exceptions
IV. Understanding Probable Cause and Reasonable Suspicion
A. Definition of Probable Cause
Clear definition and legal standards
Application in law enforcement decision-making.
B. Definition of Reasonable Suspicion
Clear definition and legal standards
Distinction from probable cause
C. Current State of the Law
1. Discussion of recent case law affecting probable cause and reasonable suspicion
2. Consideration of evolving legal standards
V. Decision-Making Process A. Illustrative Scenarios
1. Presentation of at least 2 different fact scenarios
2. Step-by-step analysis of the decision-making process for determining probable cause or reasonable suspicion
VI. Stop-and-Frisk A. Discussion of the Current State of the Law
1. Overview of legal standards for stop-and-frisk encounters
2. Practical implications for law enforcement officers
VII. Consequences for Violating the Fourth Amendment A. Exclusionary Rule
1. Explanation of the exclusionary rule and its impact
2. Importance of lawful conduct to avoid evidence suppression.
B. Civil and Criminal Liability
1. Discussion of potential legal consequences for law enforcement officers
2. Emphasis on accountability and professional conduct
VIII. Additional Information
A. Any other relevant information deemed important for training.
B. Open floor for questions and discussion.
IX. Conclusion
A. Recap of key points covered in the training.
B. Encouragement for trainers to disseminate knowledge within their agencies.
Comments from Customer
Discipline: Constitutional law -
Title: The Impact of Air Pollution on Public Health
Locate at least one news story or article or research article that describes an environmental health
problem or issue that you believe is important. This can be from a magazine, newspaper,
research journal or online website source.
In one full page describe the story or articles in your own words. Do not copy and paste
material from your sources. Next, briefly explain your opinion of why you think this
problem/issue is important, and why others should know about it.
Additional Specific Guidelines
Attach a cover page that includes your name, course, section, and assignment information. Also,
add the citation(s) for your source article(s) on a References Cited page at the end. Do not take
up space within the rest of the document for information that is supposed to go on the cover page
or works cited page.
Use APA format for citing your source(s) and other writing style issues. This also applies for
Internet-based sources. It is not acceptable to simply copy and paste a web address. You can find
guidance for citing Internet sources in different formats on the Internet. You may also obtain
assistance from resources at the UNF Library or UNF Writing Center.
Use 1-inch margins on both sides, and the top and bottom of all pages of the assignment. Do not
place any text in the header or footer of the document.
Use 12 point Times New Roman font for all text, including everything on the cover page. Single
space (1 line space only—no additional spacing) within paragraphs; double space (i.e., 2 single
space lines) between paragraphs. If you do not know how to check and edit the default settings in
your word processing program or to format line spacing, look up instructions online. You can
also obtain help from the UNF Writing Center. Also, review any video instructions provided for
the assignment by your instructor.
For this brief, one-page summary, you may NOT include any quoted material. Properly
paraphrase all source material.
Perform spell check and grammar check before finalizing your document.
If one article does not provide enough information for 1 complete typed page, use multiple
sources on the topic to add more information. You do not have to provide more than one page of
summary information, but you must provide at least one full page, in accordance with the
guidelines above, in order to receive full credit. -
Title: The Divine Design of the Human Brain: Evidence for a Relationship with God
In the Introduction to Psychology from a Christian Worldview the ”Biology of Behavior” chapter 2 , the authors of your textbook write: “We are fearfully and wonderfully made, and the complexity of our brain is amazing evidence of God’s creation. Also, the complexity of our brain uniquely positions humans to be able to have a relationship with God.” Using information from the textbook to support your responses, answer the following:
• What information on our nervous system and brain stands out to you as evidence that we have been uniquely created to be able to have a relationship with God?
• How does the information from chapter 2 support the biblical view that we are “fearfully and wonderfully made” and uniquely created for God himself? -
“First Grade Lesson: Characteristics of a Bug” Lesson Title: “Exploring the Characteristics of Bugs” Grade Level: First Grade Subject: Science Teaching Context: This lesson will be taught to a general education first grade class with a diverse
First Grade Lesson: Characteristic of a Bug
After reviewing the SIOP and sample lesson plans for the grade levels of your choice, develop a differentiated lesson plan in any of the following content areas: mathematics, science, social studies, arts, language arts, health education or physical education. The teaching context for this lesson plan is as follows: the class is a general education class for a grade level of your choice. The students come from a variety of socio-economic, cultural, and linguistic backgrounds. In this class, there are several English language learners. They do not all share the same home language; none of them speak Spanish. Some are at a beginning level of English language development; some are at an intermediate level; and some are at an advanced level. Include the following in your lesson plan:
1. Differentiated components in the lesson to address EACH of the three proficiency language levels – beginning, intermediate and advanced. 2. The home language and culture of an ELL group of your choice
3. Student use of technology in the lesson, such as an application like Kahoot, Nearpod, or Zoom SIOP lessons and activitie http://www.cal.org/siop/lesson-plans/Links to an external site.
SIOP Interactive Activity Design Template
https://www.cal.org/siop/pdfs/lesson-plans/cal-siop-activity-interactive-design-template.pdf