Case Study #2
The patient is a 27-year-old man who has severe schizophrenic illness and type-I
diabetes. Before treatment in your secure treatment unit, he was treated
successively in different settings with good success. He had been brought to your
secure treatment unit after a near-fatal assault on a patient in another hospital.
His stay has been characterised by periods of relative health alternating with
periods of withdrawal and aggression, at which time he would become very
depressed. During these periods, he talks about hearing “voices” which he claims
were the reason he attacked others physically, including staff, in the past.
He also refuses to accept his insulin during periods of depression but agrees to
his schizophrenia medication; this is appropriately managing the illness, despite
the periods of withdrawal and aggression. The only treatment that helps him to
recover to some degree from his depressive episodes is electroconvulsive
therapy (ECT), even though he had once expressed his wish to not receive it
when he was capable. Although he has been found incapable of consenting to
treatment during depressive episodes, he refuses ECT each time it is presented,
and he has to be forcibly restrained while his insulin is administered.
The staff find it distressing to have to forcibly restrain the patient so often, and to
inject him with insulin against his will. They feel that restraining him
compromises their caring relationship with him. Also, they feel uncomfortable in
having to inject him with insulin, which he needs for his type-I diabetes, since he
is adamantly refusing. Unfortunately, this is the only way to keep him from
ketoacidosis until he recovers from his depression after a few weeks of ECT.
What are some of the ethical issues in this case?
• Which of the treatments (if not all) should/should not be administered?
• When capable, what did the patient refuse exactly? What did his refusal
mean?
• What documentation is available?
•Do prior expressed capable wishes apply only to somatic disease or do
they also apply to mental health conditions?
• Does the patient have the right to refuse psychiatric intervention in prior
expressed wishes from a mental health point of view? If so, what if he
becomes violent?
• Would this only apply to mental health patients with periods of stability?
What if the patient became permanently incapable?
• What alternatives are available to this patient (to the ECT) and were these
provided to him as options when capable and deciding?
Author: admin
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“Ethical Considerations in the Treatment of a Schizophrenic Patient with Type-I Diabetes: A Case Study”
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Article Review: The Impact of Medicaid Expansion on Health Care Utilization and Spending
Article Review
Typically, Executive Summaries (Article Review) are written for readers who do not have
time to read the entire technical report. An article review is usually no longer than 20
percent of the report. It can be anywhere from 3-10 pages long, depending on the report’s
length. For this assignment, please be concise and have your review written in 3-5
pages, 12 font, double spaced. Your article must be related to recent health care policies,
debates, crises, comparisons, etc., and published within the last 5 years; you must clearly
explain the economic principles/foundations used in the article. You should use headings in
your article review which may follow the format below:
• Cover page (including the title of the paper you reviewed and the journal
information of the paper)
• Introduction
• Literature Review (if included in the article)
• Methodology
• Results/Findings
• Economics Foundations of the Article (must-have)
• Conclusion
You need to find articles from the following peer reviewed journals: Journal of Health
Economics, Health Economics, American Journal of Health Economics, and American
Economic Journal: Economic Policy (for this journal, find papers in the field of health care) -
Health Screening for Women Ages 40-49 Title: “Health Screening Recommendations for Women in Their 40s” Introduction: As women enter their 40s, they may experience changes in their health and body. It is important for women in
1.2 Group Discussion: Health Screening
After reading chapters 4 – 6, choose on the age groups of women to summarize all screening, evaluation, and recommended services pertinent to the chosen age group. Be sure to consider and reference current screening guidelines if applicable (i.e. USPSTF, ACOG, ACS, etc.). Each group member should choose a different age group. This is first come, first
serve. Check to see what your group members have posted before you post to make sure that you are not choosing an age group someone else has already covered.
Please write about women within the age bracket of 40-49.
This will be graded by using the Discussion Board Rubric. Be sure to include
current (within the past 5 years), peer-reviewed references to support your responses. -
Title: The History of Cannibalism in Fiji: Religious and Cultural Practices, Tribal Dynamics, and the Influence of European Missionaries.
I really need someone with strong paper writing skills with expertise in history and/or anthropology!
Write a minimum five-page double-spaced paper about the history of cannibalism in Fiji. The page count does not include the cover page and references section.
Look into the religious and/or cultural rituals behind the cannibalism, what tribes were doing it, the hierarchical dynamics, the weapons used, tactics used, etc. Include the typical who, what, when, where and how. Also include how it ended with European Chrsitian missionaries coming in and spreading Christianity. There is a superstition about “curse islands”, because of the cannibalization of a Christian priest. You could talk a bit about that as well.
It must be in APA format.
This is an anthropology class that specializes in cannibalism, so it is perfectly okay if everything is detailed and graphic. I will provide you with sources later, but feel free to add more sources, as needed for you. -
1. “Navigating the Reintegration Status: Challenges for Mental Health Professionals in the Workplace” 2. “Unpacking Microaggressions Against Jewish Americans: Implications for Psychological Well-Being”
1.) What are the challenges for mental health professionals working with colleagues or supervisors who are best characterized by the reintegration status?
2.) Discuss microaggressions that Jewish Americans experience. What are the implications of these for psychological well-being?
class book: Robinson-Wood, T. (2016, October 28). The Convergence of Race, Ethnicity, and Gender. SAGE Publications Inc. https://us.sagepub.com/en-us/nam/the-convergence-of-race-ethnicity-and-gender/book245399Links to an external site. -
The Impact of Temple Grandin on the National Conversation about Education Temple Grandin: A Catalyst for Change in Education Temple Grandin, a renowned professor and advocate for individuals with autism, has made significant contributions to the field of education.
Write an essay that demonstrates the following outcomes: Research paper A specific, arguable, and complex thesis. The final paper will need to be 1,200 words at least. The essay correctly introduces, integrates, and explains information from sources using appropriate summary, paraphrasing, and/or direct quotation. The essay is in MLA format and includes a Works Cited page. Directions For this paper, you can customize your topic, as long as it relates to Visual Thinking, our campus book for the year. topics: How has Temple Grandin changed the national conversation about education? You must quote from Visual Thinking, and use an additional 4-5 outside sources to strengthen your argument. At least two sources must be accessed through one of our library databases (i.e., CQ Researcher, Academic OneFile, Proquest). Include a Works Cited page in MLA format. Source material should complement your argument. Be careful not to let these sources dominate the content or direction of your argument. A good rule of thumb is one quote per paragraph.
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“Exploring Motherhood and Identity in Sylvia Plath’s “Morning Song” and “Daddy”: A Comparative Analysis of Literary Critical Theory” “The Power of Quotations: Using Evidence to Support Your Analysis of Poetry” Exploring the Human Condition: An Analysis of Poetry and Research
Analyzing “Morning Song” and “Daddy” by Sylvia Plath would be a compelling choice. Both poems delve into complex emotions related to motherhood, identity, and relationships, offering rich material for comparative analysis.Topic: The term literary critical theory refers to philosophical approaches that seeks to confront the social, historical, and ideological forces and structures that produce and constrain literature and interpretations of literature. Literary critical theory consists of various schools of thought, each focusing on differing though often overlapping elements of literature in relation to culture and cultural issues. There are major critical theories focusing on topics such as gender roles and gender performance, socioeconomic class divisions and inequality, racial identity and ideology, postcolonial and historical influences, and psychological impulses, just to name a few. While there are vastly differing approaches to analyzing literature, what all these theoretical approaches have in common is their concern with the relationship between the individual and the culture at large and the way this relationship is represented in works of literature.
So, with these ideas in mind, choose two poems from our assigned readings in which you find a strong basis for comparison to write about. Write an analytical essay interpreting the two poems you choose and your comparison of them, explaining what the poems teach us about human beings as individuals or as a society. By analyzing the relevant elements of poetry, such as speaker and listener, point of view, character, style, imagery, symbolism, tone, and theme, show how the poems address human nature and the human condition. Interpret what the poems together suggest about life in the real world. Explain and support your interpretation.
Subject: Choose two poems from our class selection of poetry that share a strong thematic connection and basis for comparison warranting further analysis. Keep your analysis focused on the poems. The poems are the subject of your analysis.
Structure:
Complete a minimum of 5 pages (not counting the works cited page) of written analysis in and thesis-and-support essay structure, as covered in the Week 1.
Include the formal elements of thesis-and-support structure and be sure to stay focused on the two poems you’re writing about. Remember you’re writing an analysis of your comparison and the text of the poems: the poems together are your subject.
Give your essay a title that is creative and relevant to the poems and to your comparison of them. (Consider an informative subtitle to accompany your creative title.)
Develop a formal introduction paragraph with a hook, a well-developed orientation, and an interpretive thesis — all focused on your subject.
Develop a thesis statement that is complete with all the required parts: subject, opinion, and logic. (The poems are your subject, your interpretation of your comparison of the poems is your opinion, and what you see happening in the poems or in your comparison that leads you to your opinion is your logic.)
State your thesis at the end of your introduction paragraph. Have your hook and orientation build up to your thesis, and then make certain that every supporting paragraph that follows relates to and supports that thesis.
Provide at least four supporting paragraphs that are each complete with a topic sentence, a sufficient number of evidence sentences that support the topic sentence, and a summary statement — all unified by your thesis.
Maintain a balanced analysis of points of comparison between the poems.
Use your own words and ideas for all your topic sentences. Topic sentences are to be analytical, meaning that they address your subject and connect it to a supporting topic. (Do not use any plot points or plot summary without connecting it to a topic. Do not use quotations in a topic sentence or summary statement. Supporting paragraphs should begin and conclude with your own ideas.)
Only use quotes as part of your evidence sentences. The evidence sentences of your supporting paragraphs are the only sentences in your essay that may include quotations from your research and subject. (Think of quotes as support; therefore, they belong in between topic sentences and a summary statements.)
Bring your analysis to a fitting close with a conclusion paragraph that stays focused on your subject, gives your essay a sense of completion and resonance, and reaffirms your thesis in retrospect of the analysis you’ve presented.
Research:
Search the Pierce College Library databases for a minimum of four peer-reviewed articles written about the poems you’re writing about (at least twofor each poem) that you can reference to support your analysis. Use the title of the poems as keywords in the various search terms you try.
All articles attained through research must be written about the poems you are analyzing, must come from the Pierce College Library databases, and must be peer-reviewed. (If you find an indispensable source that’s in the databases but is not directly about the poem, you may use it as an extra source, but don’t let it lead you off topic, and you’ll still need to use four articles that are about the poem/poems specifically, to meet research requirements. That would make five secondary sources in that case to document on your works cited page.)
Access peer-reviewed articles through the Pierce College Library’s online databases that specialize in literature, such as Academic Search Complete,Gale Literary Sources, and JSTOR. Start your research with the OneSearch feature on the library homepage.
Quotations/Synthesis:
Support your thesis with evidence, examples, and quotes from both poems. In every supporting paragraph, include at least one significant and representative passage quoted from a poem as effective support. That’s a total of four quotes from the poems (two from each poem), minimum, one in every supporting paragraph. All of your points should be founded in the text of the poems, and you should quote enough to make the connection clear. Do not quote for summary. Do not quote fragments or incomplete thoughts. Quote important passages for support.
Support your thesis with research. In every supporting paragraph, include at least one significant and representative quoted passage from a peer-reviewed article about the poem/poems as effective support for your interpretation. Use at least four peer-reviewed articles (two for each poem). That’s a total of four quotes from secondary sources, minimum, one in every supporting paragraph. Do not quote summary of the poems. Do not quote fragments or incomplete thoughts. Quote important passages.
Quotations are to be used in the evidence sentences of supporting paragraphs only. (Do not use any quotes from primary or secondary sources in your topic sentences or summary statements or in your introduction or conclusion paragraphs.)
Use mechanics of quotation. Remember quotations cannot stand alone: every quote needs to be integrated and made part of your own sentence in a way that maintains the grammatical integrity of your sentence. Otherwise, it’s free floating. For a long quote that needs to be set off from the rest of the text of the paragraph, use a colon to introduce it. Review MLA mechanics of quotation and documentation for poems.
Formatting:
Format your essay according to 9thedition MLA guidelines, including headers, heading, margins, indents, spacing, and mechanics. Use 12-point font, Times New Roman. Follow this link for complete details: MLA 9th Edition Formatting and Style Guide and use the official website for extra guidance: MLA.org – Formatting.
Cite all quotations and sources according to 9thedition MLA guidelines, including in-text parenthetical documentation and corresponding works cited page.
Use appropriate mechanics for short quotes and long quotes, according to MLA guidelines.
Your works cited page should have at least six listings: two for your primary sources (the poems you are writing about) and at least four for your secondary sources (the peer-reviewed articles you attain through research). Your works cited page is to correspond to your parenthetical documentation and to list only those sources you have actually referenced in your essay.
Other important requirements:
Don’t mention the terms “human nature” or “human condition.” They are too broad for your purpose. Your assignment is to connect your subject to a more specific topic within the broader concepts of the human condition and/or human nature.
Throughout your essay, be direct, stay focused, maintain an active and academic voice, eliminate filler, refrain from making announcements, and revise your writing thoroughly.
You may summarize to develop your orientation and briefly for the sake of supporting a point — but not as filler. Summarize no more than necessary.
Be mindful that you’re emphasizing and staying focused on what’s important about your subject and opinion: maintain a sense of exigency.
Rubric: Your essay will be scored primarily, based on the inclusion and completion of assignment requirements for structure, focus, qualifying research, synthesis, effective use of researched material and quotations, and MLA formatting for layout and mechanics of quotation and documentation, including parenthetical documentation and corresponding list of works cited, and secondarily, based on conventions of English writing, including spelling, grammar, and usage, for readability. -
Title: The Revenue Disparities among National Collegiate Athletics Association Women Athletes: A Financial Analysis Research Question: What are the revenue disparities among women athletes in the National Collegiate Athletics Association (NCAA) and how do they compare to
Task for the writer: Draft a research question, paper outline and an overview of the topic based on the guidelines below. The topic must be financially-related. Assist with finding at least 7-10 peer reviewed scholarly sources/journals that will relate to the paper topic listed below. (do not submit dissertations)
The paper should be based on the revenue disparities among the National Collegiate Athletics Association among women athletes and should be financially-related. The research question for this paper should be answered within 9 pages so please ensure the scope of the paper aligns with the page limit.
The method that will be used to reveal these disparities is public reports of the NCAA’ annual revenue distribution plan from the 2023 and 2024 year.
The paper outline should include an introduction, background section, methodology (explanation of the data sources used for review, NCAA financial reports from 2023 and 2024, description of criteria for selecting relevant reports and data points, discussion of any limitations associated with the data analysis)in addition to An analysis and a conclusion. -
Completing ALEKS Chemistry Questions
Need someone to complete my aleks. Basic chem qs of school level Need to do A3, A4, A5, A6, A7, A8, A9, A10 I have completed half of them.
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“The Founding Ideals and Principles of American Democracy: Their Application in Government and Impact on Law and Society”
you must write an essay (1000 words minimum) in which you address the following two questions or topics:
The fundamental values that inform how our democratic government is legitimated and organized are enshrined in the Declaration of Independence and in the Constitution of the United States.
Identify and discuss the basic ideals and principles of American democracy (e.g., individualism) AND how they are applied in our republican form of government (e.g., federalism).
Those ideals and principles are discussed in the first and second chapters of your textbook. You can also visit the following websites to read the original document in which these fundamental values were first stated and how they were later incorporated in the American Constitution:
The Declaration of Independence
The Constitution of the United States:
Identify the most important Supreme Court cases (e.g., Brown v Board of Education) AND executive actions (e.g., Emancipation Proclamation) then discuss their impact on law and on our society. Please discuss at least three of each.
The history of the United States has been marked by the progressive expansion of voting rights and the protection of its citizens through legislation and Supreme Court decisions. At the same time, executive orders, particularly in periods of crisis led to the violation of individual rights. Throughout this module, these issues are covered. In chapters 3 and 4 you will find the information you need to answer this question. You are also encouraged to visit the following websites for further details.
Supreme Court Landmarks
15 Supreme Court Cases that Changed America
Executive Orders – The American Presidency Project
NAACP was instrumental in the landmark case of Brown v Board of Education. Visit the website to find information on the case that led to desegregation. NAACP Website (Brown v Board of Education)