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Chapter 18 anxiety disorders
Anxiety and stress related disorders
Chapter 18 anxiety disorders
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Caroline Collin is a 38 year old, Caucasian female, who is seeking services because she has being experiencing fears lately. Caroline reports that she has being experiencing quite a few different fears. having difficulties driving, she becomes nervous when she drives herself, and she does not like to stand while she at the store because of her fears. Caroline also reports that her fears are interfering with her work and her daily functioning and she cannot control her fears. Caroline appeared to be exhausted as evidenced by staring into space when she was greeted. Caroline’s clothes seems to be appropriate for her job as a registered nurse working in a hospital, she was wearing blue scrubs. Caroline is aware that her fears had gradually increased
Anna Garcia is a thirty eight year old Hispanic women. She weighed 165 pounds and was 64 inches tall. She was married to Alex Garcia, but went through a nasty divorce. Anna has no children and one dog. A phone call came in at 9:45 AM on the hot morning of August 14th. Anna’s neighbor, Doug Greene let the police know he saw her walking her dog around 6:30AM yesterday morning, but heard her dog barking for the last two hours. Both the police and the EMT arrived at 9:56AM, and had to break the front door down. Upon entering the house, they found Anna lying face down in the entry hallway, a small pool of blood was by her head. The house was a comfortable 73 degrees fahrenheit. Around her there was evidence. There was vomit, blood spatters, blood on the table, and a pool of blood. As well as, a syringe, white pills, a cup with an unknown fingerprint on it, a muddy shoe print, and a
Anne is a seventy-four year old female with multiple comorbidities. The patient I interviewed is a sixty five year old male with a past medical history of hypothyroidism and no other reported medical conditions. Additionally, Anne requires assistance with completing her activities of daily living such as shopping, transportation and managing her finances. Also she rarely leaves her home, and is inactive due to chronic pain. The patient I interviewed is able to care for himself independently and is rather active. The patient I interviewed continues to work outside his home and routinely
Public health officials estimate that up to 50% of all antibiotics use in the U.S is either unnecessary or in appropriate.
On August 23, 1980 in Conroe, Texas, is 40 miles north of Houston, a 16-year-old girl, Cheryl Fergeson, disappeared while searching for a women’s restroom at Conroe High School (Gores, 1991). Cheryl was the manager of the Bellville High girls’ volleyball team visiting Conroe High School for a preseason scrimmage. Later that day while searching for the girl two janitors, Clarence Brandley who is black, and Henry Peace who is white, found the girl’s body hidden under some scenery flats in the loft above the auditorium stage. Cheryl has been raped and strangled to death. Clarence and Henry were interrogated and made to sign statements. The two janitors were then taken to the hospital and made to give sperm, blood, and hair samples from their head
Question 1: a) Donna Gamble is an Aboriginal woman who lives in her hometown of Saskatoon, Saskatchewan. She is a former ward of the state and has spent a significant part of her youth inside juvenile correction centres. At a young age she started using drugs and alcohol as a form of escape and resorted to prostitution as a means of sustaining her habits. Donna has six children, all with the exception of the youngest two who were placed in the custody of child services. Donna has quit working as a prostitute and is currently on the road to recovery from years of addiction and abuse.
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
Kristen Heather Strickland was born November 13th, 1967 in Fall River Massachusetts. She was the eldest child of her parents, Richard and Claudia Strickland. “Kristen was the oldest growing up in what seemed to be a well-adjusted home. Kristen lived her early years to preteen years without any problems, including during school and at home with family” (Jakclyn Rankin, 2013). She did well in school all the way through high school and graduated early at the age of only sixteen years old. After high school, she attended Greenville College and graduated with a nursing degree, and later received her nursing license in 1988. She married Glenn Gilbert that same year, and started her first job as a nurse at the Veterans Medical Center
There are certain aspects that may have provided better treatment, but probably could not have prevented the tragedy. Clear communication and understanding for the culture were essential aspects that were lacking during her treatment. Additionally, the presence of a questionnaire like the one developed by Arthur Kleinman would have bridged the gap between the patient and the provider (Fadiman, 1997, p. 260).
The primary diagnosis for Amanda Anderson is separation anxiety disorder (SAD) with a co-morbidity of school phobia. Separation anxiety disorder is commonly the precursor to school phobia, which is “one of the two most common anxiety disorders to occur during childhood, and is found in about 4% to 10% of all children” (Mash & Wolfe, 2010, p. 198). Amanda is a seven-year-old girl and her anxiety significantly affects her social life. Based on the case study, Amanda’s father informs the therapist that Amanda is extremely dependent on her mother and she is unenthusiastic when separated from her mother. Amanda was sitting on her mother’s lap when the therapist walked in the room to take Amanda in her office for an interview (Morgan, 1999, p. 1).
Andrea Yates long history of mental illness did impact what she did to her children as well as an outside influence of Michael and Rachel Woroniecki. In 1993 Rusty and Andrea married and a year later they had their first child a son named Noah. They planned on having many children whatever God intended for them. Their five children were all named after figures from the Bible. After Andrea’s first child Noah was born she began to have violent visions and felt that Satan was speaking to her. Andrea kept all her feelings to herself not realizing how much mental illness was in her family because she and Rusty had Bible inspired notions about family and motherhood. Andrea tried to have a fourth child, but suffered a miscarriage. Not long after that she got pregnant and had her fourth child. Andrea began to suffer from serious depression after the birth of their fourth child. America has a hard time on understanding how hormonal shifts can cause violent hallucinations and thoughts. Such women are at risk of committing suicide or harming their children thinking that it is for the child’s own good.
The family is scared as to what might happen with the heart surgery. Justine’s mother is also afraid that her family might blame her for going ahead with the heart surgery if anything bad were to happen to Justine in the hospital during the surgery. The family is hoping that the healing or the praying ceremony scheduled at the temple might work and cure Justine, and hopefully surgery might not be needed after all.
Mary has suffered with her illness for over 10 years. She has previously been diagnosis with a Cluster B type Personality Disorder. Mary comes across as narcissistic, self-engrossed and can be very demanding at times. Mary suffers from anxiety and is prone to panic attacks in relation to her PD diagnosis. At times Mary has been known to make ...
Physical Domain: Abigail Tremucha is the 4th daughter of Jessie Tremucha Jr. and Estela Tremucha. Her eye color is brown just like the rest of her family, and is the darkest of the Tremucha children. Hailing from the Philippines, Abigail is a petite young girl, weighing in at a mere 60 lbs at the height of 4’7”. With this information, she is at the 4th percentile in the weight category and at the 25th percentile in the height category for girls her age. Despite her small stature, she is still rather healthy. When the weather is nice, she would go and play outside with her sisters, doing activities such as riding her bike and rollerblading on the sidewalk and spending roughly an hour or two in
Linda Medina was admitted to Kindred Hospital with a diagnosis of respiratory failure. She came to Kindred intubated and was on a ventilator because she was unable to breathe on her own. Initially, Mrs. Medina was not an appropriate candidate for physical, occupational, or speech therapy due to her respiratory status.
This author met with a patient named JB to assess her current health status as well as her needs to ensure her health and well being or as she put it to “make sure she is her in the future for her children”. JB was an engaging and honest patient that had the eagerness and desire to improve her curren...