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Imagine that you have been seeing a client  for 4 months. During treatment, you learn that he has been 5 years sober  but lately has felt an intense sense of anxiety and has requested a  referral to a psychiatrist. Upon returning to his counseling sessions,  you learn that the psychiatrist has prescribed diazepam, a  benzodiazepine. You are aware of the fact that the benzodiazepine  functions similarly to alcohol in the body. You are concerned about a  relapse because of this newly prescribed medication for the anxiety  disorder.

Sometimes the medication a  doctor chooses to treat a client’s symptoms is ineffective or  inappropriate, or it may not create the desired effect without  intolerable side effects. Under what circumstances does it become  necessary for a mental health professional to advocate for an  alternative treatment for a client? What ethical issues associated with  client treatment would mental health professionals need to address? Why  would a release of information be needed?

For  this Assignment, view the media case study titled “Anxiety Disorder  Case Study: Mary.”Assume the role of a mental health professional to  respond to the client call. Review the medication that the psychiatrist  prescribed and explain the expected effects and side effects of its use.  Plan a treatment strategy. By Day 7

In a 2.5, APA-formatted paper, include the following: An explanation of any concerns, ethical or otherwise, you may have regarding the client’s generalized anxiety disorder treatment An explanation of the factors you would take into consideration in  developing a strategy to treat the client’s generalized anxiety disorder An explanation of a treatment strategy for the client’s generalized  anxiety disorder along with a justification for your strategy An explanation of how you would advocate for your treatment strategy

  Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning.
Chapter 6, “Anxiolytic-Sedative-Hypnotic Drug Pharmacotherapy” (pp. 77–84)
  Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger.
Chapter 9, “Anxiety Disorders” (pp. 107-122)
Chapter 18, “Antianxiety Medication” (pp. 217-226)
 

   American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013.
  Use the DSM-5 to guide you through your understanding of the diagnostic criteria for mental disorders.
 

American Psychiatric Association. (2013). Highlights of changes from DSM IV-TR to DSM-5. Retrieved from http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf
 
As you review this document, consider the changes to the diagnostic criteria for anxiety disorders.

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

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Regina Siegfried 

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Re:Topic 1 DQ 1

Evidenced-based practice is the use of clinical research to determine the best forms of patient care.  Patient safety is very important. Preventing delirium in critically ill patients in the ICU is an area of nursing practice that has required evicene-based practice to help with this problem. Delirium is very bad for patients and can increase there stay in the hospital for 10 extra days.  Bundles have been created by hospitals to help prevent delirium in critically ill patients.  The RASS score is important to monitor patients in the ICU setting who are intubated.  This score assesses their sedation level.  If a patient is too sedated they can’t see if the patient is going through delirium.  In the hospital I work at we use the CAM-ICU scale to assess the presence or absence of delirium.  These delirium bundles include sedation cessation for patients receiving mechanical ventilation, pain control, sensory stimulation, early mobility and sleep promotion strategies. Sensory stimulation includes visible clocks, calendars and opening the blinds during the day and closing them at night. Patients who received the delirium prevention bundle experienced 78% less incidence of delirium.  Using the CAM-ICU scale helps to see if a patient is suffering from delirium. 

Another area of nursing practice that evidence-based practice has improved better patient outcomes is infections from urinary catheters.   In the ICU I work at we don’t leave foley catheters in.  We may leave it in if the patient is receiving CRRT or for a short period after surgery.  Evidence has proved during the first week of catheterization, bacteriuria develops in 8% of patients per day, and after the 10th day of catheterization, half of patient are bacteriuric.  Catheter associated bacteriuria (CAB) can result in marked morbidity, mortality, and cost.  The mortality rate directly from hospital acquired CAB is 12.7%.  CAB can cause bacteremia in patients and they end up staying longer in the hospital.  Not keeping catheters in for extended time frames can prevent these types of infections.  In the hospital I work at we have bundles to keep track of foley catheters to help prevent CAUTIs and keep track of CAUTIs.  Doing good perineal care is also important if a patient has a urinary catheter this needs to be done every shift and as needed.  This is good for patients with a temporary urinary catheter and patients who have chronic foleys. 

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