Particularly after her PANSS test results, the client in this case has been diagnosed with schizophrenia, paranoid type, in which positive symptoms like delusions are prevalent. The purpose of this paper is to clarify three key psychopharmacological treatment decisions made on behalf of the client. Goals of all three decisions are symptom reduction and the promotion of the client's mental health and psychosocial functioning.
Decision
The decision was to give the patient Invega Sustenna (paliperidone palmitate) 234 mg intramuscular X1 followed by 156 mg intramuscular on day 4 and monthly thereafter, instead of either Zyprexa (olanzapine) or Abilify. The reasoning is based primarily on the fact that Invega Sustenna is a long-acting injectable with fewer compliance complications than orally administered drugs. Although Abilify has been available as a long-acting injectable, Invega Sustenna is recommended in this case because it presents fewer side effects than either Zyprexa or Abilify, particularly those the client…...
mlaReferences
Amiaz, R., Rubenstein, K., Czerniak, E. et al. (2016). A Diet and Fitness Program Similarly Affects Weight Reduction in Schizophrenia Patients Treated with Typical or Atypical Medications. Pharmacopsychiatry 49(3): 112-116.
Bak, M., et al. (2014). Almost All Antipsychotics Result in Weight Gain: A Meta-Analysis. PLoS ONE 9(4): e94112. doi:10.1371/journal.pone.0094112
Khanna, et al. (2016). Aripiprazole versus other atypical antipsychotics for schizophrenia. Cochrane Database of Systematic Reviews 2014, Issue 1. Art. No.: CD006569. DOI: 10.1002/14651858.CD006569.pub5.
Park, E.J. et al. (2013). Long-acting injectable formulations of antipsychotic drugs for the treatment of schizophrenia. Archives of Pharmacal Research 36(6): 651-659.
102). Therefore, there is a need to establish reliability and validity levels for the methods used by these researchers.
Data analysis. The analysis of the data included the following:
1. Calculation of body mass indexes (BMI) calculated from measured weight and height at baseline and again one year following enrollment in the intervention program, which is a standard approach to determining overweight and obesity levels (Singh 2004; Klesgas, Klem & Klesges 1999);
2. A comparison of growth changes in the intervention and control groups;
3. The mean number of dietary advice provided; and,
4. The relation between change in BMI z-score, life-style and number of visits at school care centres among intervened children.
Strength of the evidence. The evidence used to formulate the key findings of this study was weakened by differences in the attitudes, approaches and availability of the nursing staff assigned to conduct the research.
Potential alternative interpretations of the data. The results that…...
mlaReferences
Chandler, G.N. & Lyon, D.W. 2001 'Issues of research design and construct measurement in entrepreneurship research: The past decade.' Entrepreneurship: Theory and Practice.
vol. 25, no. 4, pp. 101-102.
Melin, A. & Lenner, R.A. 2008 'Prevention of further weight gain in overweight school children, a pilot study.' Scandinavian Journal of Caring Sciences, doi: 10.1111/j.1471-
Klesges, R., Klem, M., & Klesges, L. 1999 'The relationship between changes in body weight and changes in psychosocial functioning.' Appetite, vol. 19, no. 2, pp. 145-153.
This is why we feel that a workshop on this issue is critical. Obesity, unlike cancer and other deadly diseases, is preventable. To allow American children to continue to eat poorly is akin to letting them smoke cigarettes.
Teaching good nutrition and eating habits is not difficult. Many Americans do eat well, which is why we want to convince our target audience that it is possible to eat well and healthy. We also want to show that eating well feels good because when a person is healthy and exercises, they increase their overall sense of well-being. Therefore, healthy eating can be framed as a mental as well as a physical health issue. When we take into consideration the fact that obesity has an adverse impact on a child's self-esteem, it becomes imperative to teach good eating habits to young people.
Good eating is not just about avoiding fat or carbohydrates. In…...
5 gram per pound of bodyweight. Proteins give the muscle energy to grow but carbohydrates are just as important to promote the muscle to heal.
The following is a 3 day meal schedule recommended to the athlete:
Day 1:
reakfast- High energy cereal with whole milk
Fruit of his choice
Apricot nectar juice
Lunch-
aked tuna
aked potato
Lima beans
Frozen Yogurt
Dinner-
Steak
aked potato
Corn and peas
Frozen sherbet
Snack (3)- left up to the athlete
Day 2:
reakfast- Eggs and whole wheat or grain toast
Fruit of his choice
Apple juice
Lunch-
aked or roasted fish
aked potato
Corn
Frozen Yogurt
Dinner-
aked chicken
aked potato
Corn and beans
Frozen sherbet
Snack (3)- left up to the athlete
Day 3:
reakfast- Hot cereal with whole milk
Fruit of his choice
Pineapple juice
Lunch-
Steak or ground beef
aked potato
eans
Frozen Yogurt
Dinner-
aked fish
aked potato
Corn and peas
Frozen sherbet
Snack (3)- left up to the athlete
Workout schedule and recommended exercise
Work outs will be done 3 days a week and every other day to allow the muscle to heal and recuperate properly. Work out days while be Monday-Wednesday- Friday or Tuesday-…...
mlaBibliography
Coaching Association of Canada. (2010). "Gaining Weight for Athletes." Retrieved on April 16,
2010 from http://www.coach.ca/admin/pdf_admin/pdf/Nutrition_GainWeight_eng.pdf
Riveria, H. (2010). "Weight Gain and Bulking Up Rules for the Natural Bodybuilder."
Retrieved on April 16, 2010 from http://bodybuilding.about.com/od/nutritionbasics/a/bulkingupdiet.htm
obesity in young adults has led to efforts to circumvent the problem. By understanding what may cause obesity and testing out methods that can help obese young adults lose weight, researchers hope to find a viable method that can lead to positive changes in health. Thesis: Young adults experiencing obesity may suffer from mental health problems triggered by lack of healthy habits like excessive sitting, lack of exercise, and unhealthy eating habits. Some offer weight loss solutions through the use of social/mobile technologies. However, no one strategy has been found to be effective in creating successful long-term weight loss.
Brief Background of young adult obesity in America and in other countries.
Body
Explanation of obesity in young adults from a lifestyle perspective: "High sitting and low activity increased obesity odds among adults. Irrespective of sitting, men with low step counts had increased odds of obesity" (Cleland, Schmidt, Salmon, Dywer, & Venn, 2014,…...
mlaReferences
Cleland, V., Schmidt, M., Salmon, J., Dywer, T., & Venn, A. (2014). Combined Associations of Sitting Time and Physical Activity with Obesity in Young Adults. Journal of Physical Activity and Health, 11(1), 136-144. doi:10.1123/jpah.2011-0143
Dreber, H., Reynisdottir, S., Angelin, B., Tynelius, P., Rasmussen, F., & Hemmingsson, E. (2017). Mental distress in treatment seeking young adults (18-25 years) with severe obesity compared with population controls of different body mass index levels: cohort study. Clinical Obesity, 7(1), 1-10. doi:10.1111/cob.12170
Godino, J. G., Merchant, G., Norman, G. J., Donohue, M. C., Marshall, S. J., Fowler, J. H., . . . Patrick, K. (2016). Using social and mobile tools for weight loss in overweight and obese young adults (Project SMART): a 2-year, parallel-group, randomised, controlled trial. The Lancet Diabetes & Endocrinology, 4(9), 747-755. doi:10.1016/s2213-8587(16)30105-x
Even if we ourselves are to analyze how we consume foods, we can realize that these influences listed by Food Psychology online have been actual influences to how we consume food. Isn't it that true that we tend to over-eat a particular food not only because we like its taste but because there is a characteristic in the food that we particularly like? For instance, there are those who unknowingly over-eat crackers because they like playing its crunchiness in their mouth. I myself tend to over-eat M&M chocolates not merely because I like chocolates, but because I like playing with its crispy chocolate shells in my mouth. Although it is known to me that too much sweet can cause weight increase, the external cue of the M&M chocolate somehow gives me the addiction to over-consume it. Or, isn't that there are those who tend to over-eat popcorns when watching…...
mlaBibliography
Wansink, B., Van Ittersum K. Bottoms Up! The Influence of Elongation on Pouring and Consumption Volume. Food and Brand Lab, University of Illinois.
Chandon, P., Wansink, B. (2002). Does Stock Piling Accelerate Consumption? A Convenience-Salience Framework of Consumption Stockpiling." Journal of Marketing Research, 39:3 (August), 321-335.
Food Psychology.
Retrieved on May 22, 2006, from Online.
By educating patients on early warning signs of hepatotoxicity, this rare but potentially fatal consequence could be detected early to allow appropriate intervention." (Wright and Vandenberg, 2007) it is extremely critical to understand the nature of psychiatric nursing in today's clinical environment.
IV. ROLE of NURSE PRACIIONER in RANSIION
Specifically stated in the work of Kathryn R. Puskar entitled; "he Nurse Practitioner Role in Psychiatric Nursing" published in the Online Journal of Issues in Nursing is: "Commercialization of psychiatric care is underway. Psychiatric inpatient admissions have decreased, admissions to general hospitals have decreased, while outpatient admissions are increasing. Academic centers are purchasing smaller hospitals as affiliates; satellite clinics and networks of services are being established. Physicians in solo practice are merging into group practices. New health care professional roles must be restructured and "cross trained" to maintain competitiveness by offering flexible, cost-saving effective care. his is the background environment in which…...
mlaTo improve participation in outpatient programs, social workers can identify and address client barriers to keeping appointments, such as inadequate transportation, non-cooperative employers or family members, limited financial or child care resources, or even poor client motivation. Pairing newly diagnosed patients with "diabetic sponsors" -- individuals who are experienced and successful at managing their diabetes -- also may enhance attendance. Rather than relying on clients to come to clinics, social workers may need to bring the clinics to clients by organizing diabetic health fairs, outreach, or training programs in work settings, church facilities, or community centers. It is related that: "For people with Type 2 diabetes, Medical Nutritional Therapy (MNT) is often the "first-line therapy of choice" (Lipkin, 1999). The goal of MNT is to maintain near-normal glucose levels by matching dietary consumption with actual caloric (energy) needs, necessitating that the right foods in correct proportions be eaten at prescribed times for many MNT may include a secondary goal -- weight loss. Nutritional self-management or compliance with a prescribed diet can be handicapped by many of the same factors that impede self-care knowledge and skill mastery. In MNT, food assumes an almost medicinal quality, and many may resist altering long-held consumption patterns, inasmuch as food plays a part in their cultural heritage or serves as a source of pleasure; therefore, dietary changes are interpreted as loss of either function. For some patients, making these lifestyle changes may require assistance with concrete resources. As resource brokers, social workers can assess needs and link clients with community agencies for nutritional assistance, fitness training, additional diabetic education (professionals or material), medical care, health insurance, insulin and glucose monitoring supplies, prescription assistance, transportation, and counseling or support groups" (Lipkin, 1999)
VII. RESOURCE-BROKERING and COLLABORATION AMONG PROFESSIONALS
The social worker is also experienced in 'resource brokering' and as related by Lipkins (1999): "As a therapist, the social worker may practice independently or in conjunction with other professionals (such as psychiatrists and psychologists) to treat more serious mental health issues inhibiting the management of diabetes. In this role a social work practitioner may screen and treat illnesses with high rates of comorbidity among diabetes patients, such as major depression or eating and anxiety disorders. The social worker also may ensure the management of preexisting chronic mental illnesses like schizophrenia, bipolar disorder, and alcohol or substance abuse." (Lipkin, 1999) the social worker also has the capacity to: "...coordinate a comprehensive assessment, treatment plan, and intervention, striving for an optimal level of collaboration among professionals, patients, and families. Financially, social work case management can effectively and efficiently use community resources, creating an optimal environment that promotes glycemic control to delay complications and reduce hospitalizations."
weightlifting program in correctional institutes. It has 4 sources in APA format.
When a person is serving term in a correctional institution he ceases to exist for the society and he cannot carry out activities which otherwise would have been considered to be normal. However, the reality is that the American correctional system provides almost all aspects of life as much as possible to its inmates and recreation is one of them. ecreation in the form of sporting activities, in-house cable TV, arrangement for competitive events, championships etc. are some attempts.
Among the sporting activities, weightlifting in the recent years have become quite popular for the reason being that recreation correctional officials believe in the value of sports for the inmates while the inmates considers it to be satisfactory activity to channel their frustrations (Telander 1988). Apart from that, the National Correctional ecreation Association (NCA) which upholds and promotes this activity…...
mlaReferences
Author not available (2003). Fit in Prison? Pumping Iron on The Mainline. 24 Fitness available at http://www.24hourfitness.com/html/fitness/articles/prison/
StrengthTec Official Website: www.strengthtec.com
Telander, R. (1988). Sports behind the walls. Sports Illustrated, October Issue.
Little S (1995). Recreational programs in correctional settings. Parks and Recreation.
People wok had to lose pounds fom thei abs, with the pesistence to make evey step geat and had objective to lose few pounds each time they execise. In fact, some of the encouagements ae not moe than umos. Scientists evealed tuths and oppotunities in the aticle, aiming to give eachable goals and simple methods to bun fat.
Accumulating body fat could be elated to pesonality inetness and high fatty food intake fo yeas, theefoe it is impotant that people incease thei awaeness to educe fatty components in thei diets fo egula basis, while at the same time incease active body movement fom daily activities and mild execises.
The aticle explained, while a numbe of people misundestood that cutting fat intake and aising execise fequency gow linea with body fat loss, in eality, half of the points may need second thought. Thee ae many factos contibuting to obesity.
Human develops fatty cells…...
mlareference:
Meyer, M. (1999). The Truth About Losing Body Fat. Better Homes and Gardens. Mar. 1999
Supplemental references:
Common Mistake That Prevents Most People from Losing Weight and How to Avoid It. Better Nutrition. May, 2003. Primamedia Intertec.
Bemben, M.G. (1998) Age-Related Variability in Body Composition Methods For Assessment of Percent Fat and Fat-Free Mass in Men Aged 20-74 Years. Age and Ageing.
Calculate Touring Enterprises' weighted average cost of capital (WACC).
Work as follows: first, compute the after-tax cost of debt, then compute the cost of equity.
WACC = E/V x Re + D/V x Rd x (1 - Tc)
Re = cost of equity
Rd = cost of debt
E = market value of the firm's equity
D = market value of the firm's debt
V = E + D = firm value
E/V = percentage of financing that is equity
D/V = percentage of financing that is debt
Tc = corporate tax rate
Cost of equity 5%
Cost of debt 10%
Total Equity- 7 million
Total debt- 18 million
Total 25 million
Determine the weightings of debt and equity in the capital structure.
Equity -28% (7 divided by 25)
Debt- 72%
Using your answers to the above questions, calculate the WACC
WACC = E/V x Re + D/V x Rd x (1 - Tc )
(7/25) x 5% + (18/25) x 10% x (1- .35)= 6.08%
If Touring Enterprises were to increase…...
)
Further, within this essay I have explained key reasons for how and why women's mere building of healthy muscle through appropriate weight-lifting exercise will not in fact make women "bulk up" (and that in order to do so, women must in fact weight train in a particularly rigorous and deliberate way, one that average female weight-lifters simply do not). Instead, weight-lifting allows most women who exercise regularly and correctly in this way to become healthier, more physically fit, more physically attractive, and therefore to like themselves better and gain greater self-confidence. Women who have been holding back from weight-lifting due to the unrealistic fear of building too much muscle may now, therefore, relax about this faulty myth, pack their gym bags, and head fearlessly toward those barbells and/or Nautilus machines!
eferences
Bedeaux, J. (2006). Biggest benefits of strength training. Changing Shape.
etrieved November 8, 2006, at http://www.changingshape. http://72.14.
104/search?q=cache:68yf2lMgweUJcom/resources/articles / strength-training-for-woman.asp+dispelling+women%27s+fear+of+weight+ lifting&hl=en&gl=us&ct=clnk&cd=2.html.
David, M. (2006).…...
mlaReferences
Bedeaux, J. (2006). Biggest benefits of strength training. Changing Shape.
Retrieved November 8, 2006, at http://72.14.http://www.changingshape.
104/search?q=cache:68yf2lMgweUJcom/resources/articles / strength-training-for-woman.asp+dispelling+women%27s+fear+of+weight+ lifting&hl=en&gl=us&ct=clnk&cd=2.html.
David, M. (2006). Women who lift weights turn into men? Retrieved November 7, 2006, from: http:www.healthguidance, org/article/36011/women-who-lift-weights turn-into-men.html.
It is imperative to persuade children to go outside and play and to educate them about exercise. They have to learn that there is such a thing as too much or too little. The best thing one can do for their kids is to take walks because it's beneficial to their health (the Media, 2007). Although a good argument can be made that it is not the media that leads women to get eating disorders and that it is instead society that perpetuates this, I think it could be said that one goes hand in hand with the other.
The manner that the main stream media portrays women in the images that they depict has a definite influence on the way that women feel and how they believe that they need to look like. There is a constant barrage of overly think women seen in advertisements that lead women to…...
mlaWorks Cited
Coakley, Tedra. 2007, "Eating disorders no longer discriminate," viewed November 24, 2010,
< http://www.iccjournal.biz/eating_disorders_no_longer_discr.htm >
"Cultural Roles." 2007, viewed 24 November 2010, < http://www.something-
fishy.org/cultural/roles.php>
Equity and Weighted Average Cost of Capital
The cost of equity is defined by InvestorWords.com as follows.
The rate of return required by a company's common stockholders.
The Weighted Average Cost of Capital, on the other hand, is defined by Ofcom as follows.
The weighted average cost of capital measures the rate of return that a firm needs to earn in order to reward its investors.
From these two elements, the reason why financial managers don't use as little debt as possible to keep the cost of equity down can be derived. Usually, a company makes debts not because of negative causes. It is frequently due to a strategy of a company to use debts as capital on investments where there can be a high rate of OI. If a company will use as little debt as possible, then the chance of increasing its investments and gaining returns will similarly lessen. Consequently, this can…...
mlaReferences
Office of Communication
http://www.ofcom.org.uk/media/mofaq/telecoms/costcapital2/?a=87101
Cost of Equity
http://www.investorwords.com/1156/cost_of_equity_capital.html
Also, there have been cases of people having a life that they have only dreamed of in the past because they have experienced considerable weight losses. (Evening Chronicle)
Even though most people are not aware of it, obesity is one of the most dangerous problems they face. Obesity is surpassed only by smoking when considering the main cause of death worldwide. One of the most disastrous diseases that overweight can lead to is diabetes. This is obvious through the fact that most people that have diabetes are usually overweight. (Mark Kimathi)
Overweight problems are certainly underestimated, with people believing that there is nothing wrong with a few extra pounds. In reality, overweight has terrible consequences on the human body. Among numerous other diseases, overweight people face the risk of developing various forms of cancer. All in all, overweight can lead to a lot of life-threatening affections, and, among the only methods…...
mlaWorks cited:
1. Hamilton, Linda. "Appearance and Health: A Sensible Approach to Weight Loss." Dance Magazine, Vol. 71, November 1997.
2. Kimathi, Mark. (2006). "8 Reasons to Lose Weight Now." Retrieved May 5, 2009, from Ezine Articles Web site: http://ezinearticles.com/?8-Reasons-to-Lose-Weight-Now&id=169909
3. Papazian, Ruth. "Should You Go on a Diet?." FDA Consumer, Vol. 27, September 1993.
4. "We'll Pay You to Lose Weight." The Daily Mail (London, England), January 24, 2008.
Learning a language: Gaining fluency in a language to be free
The acquisition of language is never a culturally neutral process. When someone learns his or her first or even a second language, that individual also acquires a status in the eyes of the world, based upon how that language is perceived. The race of the speaker, his or her perceived level of education, gender, and race all interact with the stereotypes that exist in the gazer's mind. In Christine Marin's essay "Spanish Lessons," Marin chronicles how her unsteadiness in Spanish did not initially bother her, given the fact that she grew up in a society that prized whiteness. Gradually, as she grew older and her attitude towards her heritage changed, her lack of fluency in her native tongue became a burden. Similarly, Malcolm X was forced to grapple with his complex relationship with the English language. On one hand, it…...
1. A diet or lifestyle related disease is one that is brought about specifically because of the type of diet the person has or the lifestyle he or she chooses to live. 2. Obesity causes many health issues. The most common are sleep apnea, type II diabetes, and heart disease. 3. Obesity is linked to both diet and lifestyle. Someone who overeats and also does not exercise can become obese over time. 4. In society, obesity causes higher health care costs, "fat shaming," and discomfort for many people because of a lack of ability to accommodate larger-sized people (think airplane and bus seats,....
We can explain the concept of what punishment is and how it could be tied to not drinking water, as well as explain how you could chart or graph results with a study group that was not drinking water and a control group that was consuming the recommended amount of water. Unfortunately, you omitted some of the information we would need to write an answer specifically addressing the experiment you appear to be referencing.
Essay Topics on the Recent Childhood Obesity Epidemic
Introduction:
In recent years, childhood obesity has emerged as a significant public health concern, affecting millions of children worldwide. The epidemic has far-reaching implications for both the physical and mental well-being of our children. This essay presents a comprehensive overview of the current childhood obesity epidemic, exploring its causes, consequences, and potential solutions.
Causes of Childhood Obesity:
Dietary Factors: The consumption of processed foods, sugary drinks, and unhealthy fats contributes significantly to childhood obesity.
Sedentary Lifestyle: Lack of physical activity and increased screen time have led to decreased energy expenditure and increased calorie intake.
Genetic....
1. The effects of alcohol consumption on mental health.
2. The impact of advertising on alcohol consumption.
3. Alcohol consumption among college students and its consequences.
4. The relationship between alcohol consumption and violence.
5. Alcohol consumption trends and patterns among different demographics.
6. The role of peer pressure in alcohol consumption behavior.
7. The economic costs of alcohol consumption on society.
8. Alcohol consumption and its link to chronic health conditions.
9. Strategies for reducing harmful alcohol consumption in communities.
10. The cultural norms and attitudes surrounding alcohol consumption.
11. The correlation between alcohol consumption and risky behavior such as driving under the influence.
12. The effects of alcohol consumption....
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