I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

Psychiatric Emergencies

                In this discussion post, I will discuss an adult psychiatric emergency.  After describing this emergency, I will describe how I would handle this differently if the patient were a child or adolescent.  Lethal and ethical issues will also be discussed when dealing with children.

Adult Emergency

                In my experience, I have assessed adults who were suicidal, had a plan, and under the influence.  Having worked many years in the correctional system, inmates would often arrive under the influence of one or multiple substances and would state they were suicidal and at times have a plan to carry it out.  We treated this as an emergency and placed them immediately in on suicide watch with Kevlar suit as well as assessed for any withdrawal inmate may go through based on the report use and urine drug screen.

Child Emergency

                If a child or adolescent reports that they are suicidal, it would be emergent to further assess this patient.  If child is less than 12, they are at a significantly lower risk for completing suicide likely based on cognitive maturity (Sadock, Sadock, and Ruiz, 2014).  I would interview available family members independently to determine any further risk factors such as family discord, access to firearms, previous suicide attempts and/or ideations, and any other psychiatric history.  Parents with a psychiatric history or suicide attempts to increase the risk for their child making it very important to obtain to complete a psychiatric assessment (Kendler, et al., 2020).  If able, I would also reach out to teachers and the school social workers.  Gathering data from all resources will all me to further understand the case presenting as well as determine risks for a child presenting.  Safety would ultimately be assessed to determine if hospitalization is required.  Substance use for the child/adolescent would also need to be assessed to determine if patient is coherent to assess.  If the child is found to have substances on board, I would need to wait until they are cleared to accurately assess the child. 

                Treating children and adolescents who are suicidal bring about much complexity as you are dealing with patient and their caregivers.  If the family is found to have much turmoil, they may not be able to safely care for the patient.  According to Dardas (2019), how the family functions will impact the outcome of the suicidal child.  If the family function is found to be abusive, dysfunctional and/or having turmoil, legal action will often need to happen.

Legal/Ethical Issues

                When treating children and adolescents who are suicidal, it is my job as a provider to protect them.  If during the assessment there is found to be any type of abuse or neglect, I must report the case to local authorities.  With suicide being the second leading cause of death for adolescents, I must incorporate all the resources to provide safety for the child (Asarnow and Mehlum, 2019).  Ethically, I must be aware of all the factors that may be causing the child to be suicidal. 

Conclusion

                Overall, treating children and adolescents requires more than treating the patient.  The family/caregivers also need to be assessed to determine if there are other areas troubling the patient to increase their risk of suicide.  It is also important to request information from schoolteachers and social workers if applicable.  Providing safety is the ultimate priority and then moving forward with a treatment plan based on information obtained. 

References

Asarnow, J. R., & Mehlum, L. (2019). Practitioner Review: Treatment for suicidal and self-harming adolescents – advances in suicide prevention care. Journal of Child Psychology and Psychiatry, 10, 1046. https://doi-org.ezp.waldenulibrary.org/10.1111/jcpp.13130

Dardas, L. A. (2019). Family functioning moderates the impact of depression treatment on adolescents’ suicidal ideations. Child & Adolescent Mental Health, 24(3), 251–258. https://doi-org.ezp.waldenulibrary.org/10.1111/camh.12323

Kenneth S. Kendler, M. D., Henrik Ohlsson, P. D., Jan Sundquist, M. D., Kristina Sundquist, M. D., & Alexis C. Edwards, P. D. (2020). The Sources of Parent-Child Transmission of Risk for Suicide Attempt and Deaths by Suicide in Swedish National Samples. American Journal of Psychiatry, 177(10), 928–935. https://doi-org.ezp.waldenulibrary.org/10.1176/appi.ajp.2020.20010017

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

What stress factors may cause issues in the digestive tract for some people?

I only two 1 paragraph: 

Citation and  references from the book: nutritional foundations and clinical application: a nursing approach.

Assignment 02.2: Tutorials and Research

Directions

In a 1-2 page document, prepare answers to the following:

.Based on the Learning Activities for LP02, describe the information you found when searching the Internet for “human resource policies and procedures” and the other websites. How will this research assist you in completing the Final Research Paper on the Supervisors’ Policy and Procedure Manual? 

.Review the NAU Online Library under Course Materials. Reflect on how the NAU Online Library resource tools including tutorials, APA Style, and the Research Process will assist in the preparation of the writing intensive paper.

.Review APA Style – Research and Writing under the NAU Online Library – Course Materials. Identify three scholarly references you plan to use for your final Research Paper. Your references must be submitted in proper APA format. You will add more references (a minimum of six are required) as you progress with your project and you may change your references as you continue your research.

Umiker’s Management Skills for the New Health Care Supervisor—Vitalsource [email protected]#magicMAN61

Read section on Islam and answer one of the questions at the end or one of the following bonus questions. (Be sure to indicate which question you are answering.)

Bonus Questions:

1. Select one of the Five Pillars of Islam and make a comparison to Christianity.

2. What might people of other religions learn from Muslims about the discipline of prayer?

3. What are some of the differences or similarities between Muslim and Christian notions of the afterlife?

Submission Instructions:

• Your response must be at least one substantive paragraph and must demonstrate evidence of reading. formatted and cited in current APA style. 
• Your response should be clear and concise. The one paragraph limit dictates that the point of the exercise is not to give a final answer to the question posed. You have a single paragraph to write for each question; make it a great one.

Review the following websites and activities.

Centers for Disease Control and Prevention [CDC]. (n.d.) Solve the outbreak. Disease detective. Retrieved from https://www.cdc.gov/mobile/applications/sto/web-app.html

Office of Disease Prevention and Health Promotion. (2018). Partnering to heal. Retrieved from https://health.gov/hcq/training-partnering-to-heal.asp

You will post this response to the online Journal using the text submission tool.

Create a journal entry of 200-250 words reflecting on your personal experiences or thoughts regarding the activities at these sites, the content and epidemiological methods utilized. Are you able to identify modes of transmission and implement interventions better with these learning tools? Have you ever participated in an outbreak investigation or care of a person during such an event? Share your insights to outbreak investigation and the use of epidemiology tools.