Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

Jax is a 66-year-old Caucasian female whose wife has encouraged her to seek treatment. She has never been in therapy before, and has no history of depression or anxiety. However, her alcohol use has recently been getting in the way of her marriage, and interfering with her newly-retired life. She describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. She notes that this amount “doesn’t give me the same buzz as it used to.” She denies ever experiencing “the shakes” or any other withdrawal symptoms if she skips a day of drinking.

Jax comments that her wife is her biggest motivation to decrease her alcohol use. She tells Jax that she gets argumentative and irritable when she drinks, though she does not always remember these incidents. She has also fallen while intoxicated twice, causing bruises both times and hitting her head on one of the occasions.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

1. Describe the presenting problems/issues. Is there any information that was not provided that you would need to formulate a diagnosis?
2. Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
3. What physiological and psychological processes lead to substance dependence?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

 In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone. 

Power Point 

Topic Gestational Hypertension & Preeclampsia ACOG Practice Guideline #222

• ACOG Practice Guideline including the number
• Clinical presentation of the topic/issue
• Diagnosing (labs, diagnostics, & why)
• Management options
• Be creative with pictures / PowerPoint 
• Discussion should not be more than 30 minutes
• atleast 20 slides with reference page
• include speaker notes 

  

LINKING AREAS OF FOCUS INTO FUTURE PLANS FOR THE DNP

HUN1201: Human Nutrition – ready to go

Canvas Assignment 4: Energy Balance Case Study

Name:

Introduction

Janet is a 38-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. Janet is 5 feet 4 inches tall and currently weighs 235 pounds. She works as an accountant sitting at a desk all day crunching numbers. Her days are long, and her job is stressful.

Janet states that she does not engage in regular exercise, feels tired, and does not have much time to prepare healthy meals. On her way home, she often stops for fast food take-out for herself and family. Since she feels tired often, she drinks 24 ounces of cola daily to keep her “energized.” For breakfast, she loves to stop at Dunkin Donuts for her donut and coffee. After dinner, she consumes 2 bowls of chocolate ice cream to manage her stress.

At bedtime, Janet has trouble falling asleep and gets about 5 hours of sleep a night. Her children report that she snores loudly.

Her recent physical at the doctor revealed that Janet is prediabetic with the following lab results:

Blood pressure = 170/90 mmHg

Cholesterol = 250 mg/dl

LDL Cholesterol = 172 mg/dl

HDL Cholesterol = 38 mg/dl

Fasting blood glucose = 110 mg/dl

Number of calories ingested = 2858

Number of calories expended = 1090

Part A. Summary

Summarize Janet’s issues and constraints.

Part B. Discussion Questions

Answer the following questions in complete sentences.

1. Based on Janet’s height and weight, what BMI category does this place her in? How does this affect her daily life?

2. Looking at the number of calories Janet has ingested and expended, will Janet be in energy balance, energy deficit, or energy excess? Explain why.

3. Based on Janet’s lab values, is Janet at risk for heart disease? Explain what factors are putting Janet at risk.

4. Identify
3 environmental factors that have put Janet in an energy imbalance. With
each environmental factor,
explain how each factor is causing the energy imbalance.

Environmental Factor	Causes

5. To help Janet with long term weight loss, there are
three areas that Janet needs to adjust according to your textbook. What are the three areas?

With
each area, explain two
specific ways to accomplish this based on Janet’s habits. Be sure to provide workable solutions for her considering the constraints you identified in Part A.

Area to Adjust	How to Accomplish

Part C: Debrief

Based on what you learned in this course, what is the root cause of Janet’s symptoms and lab values? What is the role that nutrition plays in this cause? Explain your answer.