Many children and adolescents who go to counseling engage in behaviors that are disruptive to others. These children and adolescents are sometimes labeled as having “externalizing” disorders because they tend to “act out” their symptoms, which causes other people distress. Disorders such as depression and anxiety are “internalizing” disorders because children and adolescents generally internalize their symptoms in a way that causes them distress. When children “act out” their symptoms, adults can become impatient, annoyed, and angry. These responses often intensify when children are unwilling or unable to take personal responsibility for their behavior. As a future child and adolescent clinician, it is important for you to gauge your reactions toward children and adolescents with disruptive behaviors and consider how your reactions may impact the counseling process.

Question 1

Watch at least 60 minutes of TV, focusing on the depiction of older adults. Analyze and discuss TV programming in the context of at least two of the following:

• Portrayal of elderly characters
• Intergenerational themes
• Conflict in relation to the older population
• Aging stereotypes or myths
• Cultural diversity in relation to quality of care

your answer

The Portrayal of Elderly Characters

On television, today, if a character goes crazy, makes extravagant comments to a person of the opposite sex or is intrigued by fundamental things, this character will probably have silver hair. In one way or another, the divine beings of television have chosen disgusting, inappropriate or idiotic actors for old characters. Or again, all three. See, for example, what they did with poor Margo Martindale, an award-winning Emmy artist named Tony. Currently plays the mother of the character of Will Arnett in the parody of CBS “The Millers.” A complete secondary plot at the beginning of the settlement was worked around his belly, explicitly gas. In this equivalent scene, Beau Bridges, another Emmy champion who plays his other important role, is not apt to use a wireless phone properly (The Millers First Look, 2013).

Intergenerational Themes

Located on a sugarcane ranch in Louisiana, Ava DuVernay’s Queen’s Sugar is a multigenerational epic drama that American television has never been able to organize. The fact that it takes into account so many elements in its reports, including class and intergenerational conflicts, dynamic and distant prejudices, government laws and directives and even the effect of the atmosphere and financial changes, is much more than subtle friction of agreements. Televisions are full of convincing and beautiful characters on the screen, who are also the main characters are Charley Bordelon (Dawn-Lyen Gardner), a rich woman who leaves Los Angeles with her teenage son to make another life; Nova Bordelon (Rutina Wesley), writer and extremist of New Orleans; and his brother Ralph Angel (Kofi Siriboe), a single father with a proven track record in the world of work, who is trying to raise a child abandoned by a crazy drug mother. Nothing in the program moves as one would expect, and the emphasis on aerial and forced visual narration (with the confidence of female leaders) separates it further from other families at different times (Queen Sugar, 2016).

professor question to post:

   How representative of elderly people do you believe this TV show really is? 

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.  

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. Examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: 

• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily

To Prepare

• Review the case study
• Reflect on the patient’s symptoms, medical history, and      drugs currently prescribed.
• Think about a possible diagnosis for the patient.      Consider whether the patient has a disorder related to the      gastrointestinal and hepatobiliary system or whether the symptoms are the      result of a disorder from another system or other factors, such as      pregnancy, drugs, or a psychological disorder.
• Consider an appropriate drug therapy plan based on the      patient’s history, diagnosis, and drugs currently prescribed.

In a 2-page  address the following

• Explain your diagnosis for the patient, including your      rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the      patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan      for this patient. Be specific and provide examples.

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

· Chapter 64, “Drugs for Peptic Ulcer Disease” (pp. 589–597)

· Chapter 65, “Laxatives” (pp. 598–604)

· Chapter 66, “Other Gastrointestinal Drugs” (pp. 605–616)

· Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)

Chalasani, N., Younossi, Z., Lavine, J. E., Charlton, M., Cusi, K., Rinella, M., . . . Sanya, A. J. (2018). The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1), 328–357. Retrieved from https://aasldpubs.onlinelibrary.wiley.com/doi/pdf/10.1002/hep.29367

This article details the diagnosis and management of nonalcoholic fatty liver disease. Review this article to gain an understanding of the underlying pathophysiology as well as the suggested pharmacotherapeutics that might be recommended to treat this disorder.

respond 

The PICOT question that is proposed for my final project:

P: Are patients that are in the hospital who receive patient education lead to an increase in HCAPHS scores? I: with education to the staff and updated documentation policies, C: As opposed to those that do not? O: Increase HCAPHs scores and decreased readmissions at 30 days T: over 12 months.

Information that will need to be obtained includes what our current HCAPHS, the readmission rate and diagnosis of the patients are. What the cost of the current stay is on all the different levels of the hospital. How does HCAPHS affect reimbursement? What is the baseline documentation being done on education and care plans? The survey’s on the staff’s perception of what needs to be documented. How much time and what the cost of the hourly staff chosen to audit compliance of patient documentation of education and care plans. As one audits charge, there is a need to try and identify what are the deficits in the education and is there a correlation to the patient being readmitted to the facility (Burnett, Lee, Doherty, Suh, Kim, …, Choi, & Suh, 2018). The difficult part of my PICOT questions is that much of the information is subjective instead of objective. From my project, my true hope is that the policies of the organization will be updated with what is expected and that the staff will be educated on the proper way of documenting in the chart.  One of my biggest concerns is that many do not give themselves enough information even to remember a patient or situation if that chart is ever brought to court for some reason.

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.