...Treatment Soap Note
Patient: A 12-year-old patient visiting the physician for well-child examination.
Source and Reliability: Mother and father, both reliable sources.
Patient Case, Age and Clinical Setting: 12 years patient visiting a physician.
Chief Complaint: Few minor illnesses over the past 2 years.
HPI: The patient last visited the physician for a well-child examination 2 years ago. He has a few minor illnesses since then. He is currently in the puberty stage of development.
Past Medical History: Few minor illnesses.
Family History: None
Social History: Patient lives with his mother and father.
Risk Factors: Sexual maturation, pubertal growth spurt, and abnormal pubertal development.
ROS: Premature adrenarche.
VS: BP - 115/70, Temp - 98, weight - 80 pounds, height – 59 inches, HR – 90.
· The patient is alert but does not fully understand changes in his body.
· He started developing some underarm……
ICD10 Data. (2018). 2020 ICD-10-CM Diagnosis Code E30.1. Retrieved January 22, 2020, from https://www.icd10data.com/ICD10CM/Codes/E00-E89/E20-E35/E30-/E30.1
Oberfield, S.E., Sopher, A.B. & Gerken, A.T. (2011, June). Approach to the Girl with Early Onset of Pubic Hair. The Journal of Clinical Endocrinology & Metabolism, 96(6), 1610-1622.
Treatment Versus Punishment: That Is the Question!
When it comes to the question of whether treatment or punishment should be used for juvenile offenders, it is important to remember that juveniles are still developing into adults: their minds, bodies, … the scale of what they are for adults. The focus of juvenile justice should be on rehabilitation—not punishment. This paper will explain why treatment is the better option when it comes to juvenile justice.
Differences between Treatment and Punishment
The concept of treatment focuses on the idea that juveniles who commit a crime, whether it is selling drugs, robbing a house, rape, or murder, are still … and evil influences. Children need a helping and guiding hand to navigate the conflicts that they face in the early stages of development. Treatment is what provides that helping hand. It can come in the form of therapy, mentoring, a Big Brother,……
Agnew, R. (2008). Strain Theory. In V. Parrillo (Ed.), Encyclopedia of social problems. (pp. 904-906). Thousand Oaks: SAGE.
Cramer, M. (2014). Parole Board releases 2nd man convicted of murder as juvenile. Retrieved from https://www.bostonglobe.com/metro/2014/08/06/parole-board-releases-man-convicted-murder-while-juvenile/REwVVe3aR9leuRVMpZsN6O/story.html
Diskin, M. (2018). New law will put limits. Retrieved from https://www.vcstar.com/story/news/local/2018/10/11/new-california-law-means-teen-suspect-oxnard-murders-cannot-tried-adult/1535518002/
Fritz, J. K. (2015). Diverting young offenders from prison is ‘smart justice.’ Education Digest, 81(2), 53-55.
Jannetta, J., & Okeke, C. (2017). Strategies for Reducing Criminal and Juvenile Justice Involvement. Building Ladders of Opportunity for Young People in the Great Lakes States, brief, 4. Retrieved from https://www.urban.org/sites/default/files/publication/94516/strategies-for-reducing-criminal-and-juvenile-justice-involvement_2.pdf
Johnson, T., Quintana, E., Kelly, D. A., Graves, C., Schub, O., Newman, P., & Casas, C. (2015). Restorative Justice Hubs Concept Paper. Revista de Mediación, 8(2), 2340-9754.
McCarthy, P., Schiraldi, V., & Shark, M. (2016). The future of youth justice: A community-based alternative to the youth prison model. US Department of Justice, Office of Justice Programs, National Institute of Justice.
Meli, L. (2014). Hate Crime and Punishment: Why Typical Punishment Does Not Fit the Crime. U. Ill. L. Rev., 921.
Fair treatment of workers is a priority for any employee given that it is a right guaranteed by the Constitution and protected by labor laws. … settings and procedures the ensure all employees are treated in a fair and equal manner. Existing labor laws protect employees from discrimination, unfair treatment, retaliation, and other work-related issues. For this large company, making business decisions in consideration of employment protections is essential toward ensuring fair treatment of employees. The significance of fair treatment of all employees in this large company with respect to applicable federal antidiscrimination laws, federal health and safety laws, and state laws is … seek to segregate an individual or group based on their unique attributes from other individuals. According to Jennings (2018), workplace discrimination incorporates “disparate treatment, disparate impact, and pattern or practice of discrimination” (p.731). These three concepts were the premise for initial federal laws enacted to protect……
Coble, C. (2015, June 11). Can Undocumented Immigrants Get Workers’ Comp? Retrieved March 12, 2020, from https://blogs.findlaw.com/injured/2015/06/can-undocumented-immigrants-get-workers-compensation.html
Grabell, M. & Berkes, H. (2018, February 7). Florida Bill Seeks to Stop Arrests of Injured Immigrant Workers. National Public Radio. Retrieved March 12, 2020, from https://www.npr.org/sections/thetwo-way/2018/02/07/583995647/florida-bill-seeks-to-stop-arrests-of-injured-immigrant-worker s
Jennings, M. (2018). Business: Its Legal, Ethical, and Global Environment (11th ed.). Mason, OH: Cengage Learning.
Lenard, P.M. (1987). Unjust Dismissal of Employees at Will: Are Disclaimers a Final Solution? Fordham Urban Law Journal, 15(2), 533-565.
Lindsay, D.C. & Moore, L.M. (2011). State and Federal Leave Laws: How Recent Legislative Changes Have Complicated Leave Administration. Employment Relations Today, 38(1), 77-90.
Macgillivray, E.D., Beecher, H.J.M. & Golden, D. (2010, December). Legal Developments – Recent Action, Federally and in the Workplace. Global Business and Organizational Excellence, 73-81.
Mello, J.A. (2019, August 9). Why the Equal Pay Act and Laws Which Prohibit Salary Inquiries of Job Applicants Can Not Adequately Address Gender-Based Pay Inequity. SAGE Open, 9(3), https://doi.org/10.1177/2158244019869106
Muhl, C.J. (2001, January). The Employment-at-will Doctrine: Three Major Exceptions. Monthly Labor Review, 3-11. Retrieved from Bureau of Labor Statistics website: https://www.bls.gov/opub/mlr/2001/01/art1full.pdf
Diagnosis and Treatment Plan
In the present scenario, the patient presents with symptoms similar to those of acute myocardial infarction AMI. It therefore follows that the … older one gets, the higher the risk). Coronary heart disease can in some instances result in a heart attack.
The relevance of quick treatment cannot be overstated in this case. The restoration of the flow of blood would be the very first step. To reduce blood clotting … Coronary Artery Disease: Historical Perspectives. Heart Views, 18(3), 109-114.
Lu, L., Sun, R., Zheng, Y. & Zhang, P. (2015). Myocardial Infarction: Symptoms and Treatments. Cell Biochem Biophys, 72(3), 865-867.…
Hajar, R. (2017). Risk Factors for Coronary Artery Disease: Historical Perspectives. Heart Views, 18(3), 109-114.
Lu, L., Sun, R., Zheng, Y. & Zhang, P. (2015). Myocardial Infarction: Symptoms and Treatments. Cell Biochem Biophys, 72(3), 865-867.
The medication, Lomotil, combines two drugs, namely, atropine and diphenoxylate. The artificial narcotic, employed in the treatment of acute limited-duration diarrhea, is associated, chemically, with Demerol or meperidine. Akin to other narcotic drugs, diphenoxylate decreases diarrhea owing to its hindrance of intestinal contents' forward ……
Agzew, Y. (2005). Clostridium difficile–Associated Diarrhea and Colitis: A Significant Cause of Nosocomial Infection. Retrieved from https://www.the-hospitalist.org/hospitalist/article/122898/clostridium-difficile-associated-diarrhea-and-colitis-significant-cause
Joob, B., & Wiwanitkit, V. (2014). Lomotil dependence. Indian J Psychol Med, 36(3), 348-349. Doi: 10.4103/0253-7176.135401
Ogbru, O. (2019). Diphenoxylate and atropine (Lomotil). Retrieved from https://www.medicinenet.com/diphenoxylate_and_atropine/article.htm#what_is_diphenoxylate_and_atropine_and_how_does_it_work_mechanism_of_action
WebMD. (2019). Lomotil. Retrieved from https://www.webmd.com/drugs/2/drug-6876/lomotil-oral/details
Case Study Assessment
Chemical Use Assessment/History and Treatment Recommendations
Dates of Interviews: July 10-15, 2019
Reason for Assessment
Alan is addicted to pornography and masturbation … know how to do it.
Sources of Information
Alan is the sole source of information for this case. He has presented himself for treatment with the understanding that the chemical dependency from which he is suffering can be treated. His current wife Becky could become a secondary … is most likely to feel tempted—and that is his office at work and, on occasion, when with his wife. The first step to treatment will be to identify ways for Alan to reduce……
Brand, M., Snagowski, J., Laier, C., & Maderwald, S. (2016). Ventral striatum activity when watching preferred pornographic pictures is correlated with symptoms of Internet pornography addiction. Neuroimage, 129, 224-232.
Doweiko, H. E. (2015). Concepts of chemical dependency (9th ed.). Stamford, CT: Cengage Learning.
Gilbert, D. (2014). The Novena to St. Boniface of Tarsus: A Pastoral Program for Addressing Sexual Addiction in Colonial Mexico. Catholic Social Science Review, 19: 87-109.
Laaser, M. (2004). Healing the wounds of sexual addiction. Grand Rapids, MI: Zondervan.
Manley, G., & Koehler, J. (2001). Sexual behavior disorders: Proposed new classification in the DSM-V. Sexual Addiction &Compulsivity: The Journal of Treatment and Prevention, 8(3-4), 253-265.
McKeague, E. L. (2014). Differentiating the female sex addict: A literature review focused on themes of gender difference used to inform recommendations for treating women with sex addiction. Sexual Addiction & Compulsivity, 21(3), 203-224.
Park, B., Wilson, G., Berger, J., Christman, M., Reina, B., Bishop, F., ... & Doan, A. (2016). Is Internet pornography causing sexual dysfunctions? A review with clinical reports. Behavioral Sciences, 6(3), 17.
Young, K., Pistner, M.,O’Mara, J., & Buchanan, J. (2009). Cyber disorders: the mental health concern for the new millennium. CyberPsychology & Behavior, 2(5), 475-479.
...Treatment Abnormal Psychology Questions
Q1. According to your text please describe how negative reinforcement increases the avoidance behaviors often associated with anxiety.
Negative reinforcement refers to the withdrawal of an unpleasant stimulus to reward behavior. Using operant conditioning in a laboratory experiment, this might be accomplished by the withdrawal of an unpleasant sound when the desired behavior is completed. However, in the real world, for someone experiencing anxiety, the usual way in which someone suffering from this psychological disorder deals with the unpleasant feelings of anxiety (pounding heart, sweating, and racing thoughts) is to withdraw from the situation and avoid the triggering stimulus. Although this, on the surface, might seem to be sensible on the one hand, on the other hand it can result in the anxious individual becoming socially withdrawn or avoiding positive life experiences because of the fear. For fears of very common things—such as driving—it can significantly impair……
Cameron, O.G. (2007). Understanding comorbid depression and anxiety, 24 (14). Retrieved from: https://www.psychiatrictimes.com/anxiety/understanding-comorbid-depression-and- anxiety
Facts and Statistics. (2020). Anxiety and Depression Association of America. Retrieved from: https://adaa.org/about-adaa/press-room/facts-statistics
… person’s life including personal relationships, school and work. There are various kinds of obsessive-compulsive disorders with different signs and symptoms as well as treatment approaches. This paper discusses treatment recommendations for an adult patient suffering from Body Dysmorphic Disorder. The discussion includes analysis of medical management, community resources and follow-up plans for … focused on fixing the perceived defects/flaws, comparison with others, perfectionist tendencies, preoccupation with perceived defects, and attempts to hide the perceived defect.
The treatment of obsessive-compulsive disorders…[break]…maintenance of treatment for this patient requires a comprehensive follow-up involving collaboration of healthcare professionals as part of a treatment alliance (Phillips & Hollander, 2008). Primary care physicians should collaborate with other clinicians to conduct monthly assessment of the patient and make necessary … Hollander, 2008). Primary care physicians should collaborate with other clinicians to conduct monthly assessment of the patient and make necessary changes to the treatment……
Ahmed et al. (2019, October 3). Body Dysmorphic Disorder Treatment & Management. Retrieved October 10, 2019, from https://emedicine.medscape.com/article/291182-treatment#d12
Harris, P.M. & Drummond, L.M. (2016, October). Compliance of Community Teams with Specialist Service Recommendations for Obsessive-Compulsive and Body Dysmorphic Disorders. BJPsych Bulletin, 40(5), 245-248.
Mayo Clinic Staff. (2016, April 28). Body Dysmorphic Disorder. Retrieved October 10, 2019, from https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/diagnosis-treatment/drc-20353944
Phillips, K.A. & Hollander, E. (2008, March). Treating Body Dysmorphic Disorder with Medication: Evidence, Misconceptions, and a Suggested Approach. Body Image, 5(1), 13-27.
Phillips, K.A. (2006, July). The Presentation of Body Dysmorphic Disorder in Medical Settings. Primary Psychiatry, 13(7), 51-59.
… (Sertraline) happens to be largely effective. According to Hritzak and Culhane (2004), “Sertraline (Zoloft) is effective and generally well tolerated for the short-term treatment of major depressive disorder in both children and adolescents” (17). In essence, Sertraline, which is essentially an SSRI, impacts unbalanced brain chemicals in ……
American Academy of Pediatrics (2020). Sertraline - Zoloft (Oral Solution). Retrieved from https://www.aap.org/en-us/professional-resources/Psychopharmacology/Pages/Sertraline-Zoloft-Oral-Solution.aspx
Fainzang, S. (2011). Discourse on safe drug use: symbolic logics and ethical aspects. Drug Saf., 33(8), 623-629.
Hritzak, K. & Culhane, N.S. (2004). Sertraline effective for children and adolescents with major depression. J Fam Pract., 53(1), 8-14.
Milev, D.R. (2015). Does Sleep Quality Change after Switch from Wellbutrin SR to Wellbutrin XL in Patients with Major Depressive Disorder? Retrieved from https://clinicaltrials.gov/ct2/show/NCT00616915
Mullen, S. (2018). Major depressive disorder in children and adolescents. Ment Health Clin., 8(6), 275-283.
Navels, R.M., Gentkovsky, S.T. & Williams, B.E. (2016). Paroxetine—The Antidepressant from Hell? Probably Not, But Caution Required. Psychopharmacol Bull., 46(1), 77-104.
Patel, K., Allen, S., Haque, M.N., Angelescu, L., Baumeister, D. & Tracy, D.K. (2016). Bupropion: a systematic review and meta-analysis of effectiveness as an antidepressant. The Adv Psychopharmacol., 6(2), 99-144.
… practices and programs within psychological health via literature review on various studies that exist on this matter.
When it comes to the treatment and management of depressive disorders, psychological interventions play a key role as an alternative treatment. Several treatments have been developed mainly founded on cognitive-behavioral, psychodynamic, humanistic, or interpersonal approaches. According to one latest huge network meta-analysis involving 198 random trials … huge network meta-analysis involving 198 random trials conducted on patients suffering from depression, even though the amount of proof differed across the individual treatments, the health impacts appeared to be of the same magnitude (Barth et al., 2016).
The majority of the trials involved in this huge … 2016).
The majority of the trials involved in this huge meta-analysis were conducted in specialized mental healthcare surroundings. Two questions arise about the treatment and management of depression, particularly in primary care.
One, can we infer……
Australian Psychological Society. (2010). Evidence?based psychological interventions in the treatment of mental disorders: A literature review. Victoria: Australian Psychological Association.
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., ... & Cuijpers, P. (2016). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network meta-analysis. Focus, 14(2), 229-243.
Castelnuovo, G. (2017). New and old adventures of clinical health psychology in the twenty-first century: standing on the shoulders of giants. Frontiers in psychology, 8, 1214.
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive-behavioral therapy: A review of meta-analyses. Cognitive therapy and research, 36(5), 427-440.
Hughes, A. M., Gordon, R., Chalder, T., Hirsch, C. R., & Moss?Morris, R. (2016). Maximizing the potential impact of experimental research into cognitive processes in health psychology: A systematic approach to material development. British journal of health psychology, 21(4), 764-780.
Kirkham, J. G., Choi, N., & Seitz, D. P. (2016). Meta?analysis of problem solving therapy for the treatment of major depressive disorder in older adults. International Journal of Geriatric Psychiatry, 31(5), 526-535.
Lenz, A. S., Hall, J., & Bailey Smith, L. (2016). Meta-analysis of group mindfulness-based cognitive therapy for decreasing symptoms of acute depression. The Journal for Specialists in Group Work, 41(1), 44-70.
Linde, K., Rücker, G., Sigterman, K., Jamil, S., Meissner, K., Schneider, A., & Kriston, L. (2015). Comparative effectiveness of psychological treatments for depressive disorders in primary care: network meta-analysis. BMC family practice, 16(1), 103.
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