Assignment 1: Parental Responsiveness
Due Week 5 and worth 160 points Story Before my first child was born, I studied child development. I learned the importance of responsive caregiving. I learned that I would soon be able to read my baby’s cries. I would know what was wrong and what I could do by the sound of the cry. After my baby was born, I responded quickly when he cried. To my surprise, I had difficulty calming him. I realized I did not always know what was wrong by the sound of his cry. I became very frustrated and decided that if my baby was dry, fed, and not tired. I would just let him cry it out. I didn’t know what else to do. Write a two to three (2-3) page paper in which you: Explain how Behaviorism, Psychoanalytic Theory, and Attachment Theory suggest handling this situation and predict what would be each likely outcome. Identify the characteristics that a baby could have that may disrupt the attachment process. Suggest a solution that is supported by research and theory. Explain what the research says regarding how parents should react to the cries of a child. Assess the behavior of the mother in supporting secure attachment. Use at least four (4) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Assess the biological, cognitive, cultural, environmental, and social factors that influence development throughout the lifespan. Use technology and information resources to research issues in lifespan development. Write clearly and concisely about lifespan development using proper writing mechanics
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Discussion Part Two (graded)
Physical examination:
Vital Signs:
Height: 5’8” Weight: 188 pounds BMI: 28.58 BP: 130/70 T: 99.0 oral P: 72 regular R: 24, pursed-lip breathing; Pain level-7-right shoulder HEENT: Normocephalic, symmetric. PERRLA, EOMI, cerumen impaction bilateral ears.
NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. LUNGS: Labored respirations; posterior RLL, LLL, RML, LML diminished breath sounds. Rhonchi right and left anterior chest.
HEART: RRR with regular without S3, S4, murmurs or rubs. ABDOMEN: Normal contour; active bowel sounds, LLQ tenderness.
PV: Diminished pedal pulses; hair loss noted over extremities.
NEUROLOGIC: Negative
GENITOURINARY: Urinary dribbling, urgency, gets up 4 times during the night, distended bladder.
MUSCULOSKELETAL: Limited ROM in right shoulder. Crepitus in knees bilaterally.
PSYCH: Negative
SKIN: Negative
Discussion Part Two:
Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.
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Discussion Part Two (graded)
Physical Exam:
Discussion Part Two (graded)
Vital signs: blood pressure 145/90, heart rate 100, respirations 20 height 5’1”; weight 210 pounds
Labwork:
CBC: normal
UA: 2+ glucose; 1+ protein; negative for ketones
CMP: BUN/Creat. elevated; Glucose is 300 mg/dL
Hemoglobin A1c: 12%
Thyroid panel: normal
LFTs: normal
Cholesterol: total cholesterol (206), LDL elevated; HDL is low EKG: normal
General: obese female in not acute distress HEENT: unremarkable
CV: S1 and S2 RRR without murmurs or rubs
Lungs: Clear to auscultation
Abdomen– soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits
Discussion Questions Part Two
For the primary diagnosis, what non-pharmacological and pharmacological strategies would be appropriate?
Include the following: lab work and screenings to be completed. Describe patient education strategies.
Describe follow-up and any referrals that may be necessary.
Discussion Part One (graded)
C.G. is a 69-year-old male with a history of right head and neck cancer that you have been following for one year. The carcinoma was initially localized to the head and neck-specifically at the left lingual tonsil region and went on to complete a total of 6 weeks of radiation and chemotherapy. Recently, the last PET scan indicated some metabolic activity in the left lymph node area along with other regions of abnormal metabolic activity in the body-particularly the liver and the lungs indicating metastasis. C.G. indicates that he is tired of the effects of chemotherapy and radiation and does not want to pursue any more treatment for cancer.
Background:
Right head and neck cancer with metastasis to liver and lungs; patient is refusing further treatment.
PMH:
Hypertension
Hyperlipidemia
Stomatitis
Anemia
Neutropenia
Current medications:
Carvedilol 12.5 mg po 1 daily
Furosemide 40 mg po daily
Surgeries:
2012: right radical neck dissection
Allergies:
None
Vaccination History:
Influenza vaccine last received 1 year ago
Received pneumovax at age 65
Received Tdap 5 years ago
Has not had the herpes zoster vaccine
Social history and Risk Factors:
Former smoker-stopped smoking at the time his cancer was diagnosed-2 years ago
Negative for alcohol intake or drug use
Patient does not have an advanced directive or living will. He is refusing further treatment for his cancer and his wife and children are in disagreement with him. The patient wants to know what his options are for the remainder of his life.
Family history:
Negative
Discussion Part One:
Provide differential diagnoses (DD) with rationale.
Further ROS questions needed to develop DD.
Identify the legal/ethical issues involved with the patient and describe your approach to addressing end-of-life care for this patient.
Discussion Part Two (graded)
Physical examination:
Vital Signs: Height: 6’0 Weight: 140 pounds; BMI: 19.0 BP: 156/84 P: 84 regular R: 20
HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM
LUNGS: rhonchi in anterior chest bilaterally.
HEART: S1 and S2 audible; regular rate and rhythm
ABDOMEN: active bowel sounds all 4 quadrants; Normal contour; RUQ tenderness; liver palpable
NEUROLOGIC: negative
GENITOURINARY: negative
MUSCULOSKELETAL: negative
PSYCH: PHQ-9 is 15
SKIN: oral mucosa irritated-stomatitis
Discussion Part Two:
Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.
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Select one of the following options for this discussion. Indicate in your post which option you are responding to. Option A: Review this week’s reading, which introduced the role of neurotransmitters in human behavior and personality. Use the Ashford University Online Library to locate one peer-reviewed research study which was published in the last five years and that implicates a neurotransmitter as the cause of an abnormal behavior (psychological disorder). Clearly indicate in your discussion:
a. The abnormal behavior being studied. b. The neurotransmitter that is implicated. c. The role of the neurotransmitter in the expression of the abnormal behavior.
Your initial post should be a minimum of 250 words and utilize at least one peer-reviewed source that was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center. Guided Response: Review several of your classmates’ posts. Respond substantively to two peers who chose a different neurotransmitter or abnormal behavior than you did. Address the role of the neurotransmitter in the expression of the abnormal behavior that they each selected. Are there other possible explanations for the cause of this abnormal behavior? Which explanation do you think makes the most sense? Why? Option B: Review this week’s reading, which introduced the impact of early trauma on function and personality development. Use the Ashford University Online Library to locate a peer-reviewed research study which was published within the last five years and that examines the impact of brain trauma on the function and development of personality. Clearly indicate in your discussion:
a. The trauma that occurred. b. The duration between the time of the trauma and the research study. c. The impact of the trauma on overall function. d. The impact of the trauma on personality and behavior.
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