Category: Select subject(s)

Instructions

Case Study Presentations

Purpose: The purpose of this assignment is to practice, in a grand rounds format, the written and verbal ability to present a client and overall plan of care to your peers. Select one client from your practicum experience for the presentation. You will be assigned a date to present via scheduled webinar. Webinars will be scheduled at the instructors discretion.

Format and Expectations for Case Study Presentations:

1. The case study should be prepared with Microsoft Power Point. The presentation time should not exceed 30 minutes. Voice-over formats are not permitted, and the case study must be presented live via webinar to your instructor and classmates.
2. The client presented in the case study presentation cannot be any other client you presented in any other assignment.
3. The presentation should follow the format of the psychiatric evaluation and be presented in an organized, logical, thorough, yet concise manner. Patient goals and treatment rationales with neurobiology should be included. The Grading Rubric for Psychiatric Evaluations will be utilized for grading purposes.

RUBRIC

Rubric

1. Demographic Data

Includes identifying information including initials, age, gender, ethnicity. Primary source of information and reliability as well as reason for referral and patient understanding of referral are clear.

2. Subjective : History of Present Illness

CC is clear, concise and verbatim from pt. HPI is thorough yet concise and provides a chronological account of symptoms and contextual factors that are sufficiently descriptive (oldcarts) to validate Dx per DSM-5 criteria. All pertinent negatives are included. A longitudinal course of illness is clear. Current psychiatric medications and response are included.

3. Past Psychiatric History

PPH contains all previous treatment including previous Dx, hospitalizations, outpatient treatments, suicide attempts, self-harm, and previous medications with detailed trial and response history. Pertinent negatives are also included.

4. Substance Use History

Complete substance use history is documented. Pertinent negatives are clear evidenced by appropriate pt. responses ie. denies. Age of onset, duration, frequency/pattern of use, route of administration, last use, consequences of use. Not limited to illicit substances. Inclusive of addictive behavioral patterns.

5. Past medical history and review of symptoms

Medical history includes previous and current medical problems, surgeries, and allergies. ROS is germane to the presenting psychiatric problems and is free from objective assessment data ie. lungs clear BS present.

6. Family History Psychosocial and Developmental History

Family Hx includes identified relational status with current or historical psych illness, treatments, responses, suicides, or self-harm. Indication if biologically related. Devt Hx includes info regarding family of origin, siblings, birth order, family dynamics, relational patterns and status, educational, employment, abuse, spirituality, legal, military. Devt milestones for child & adolescents are included

7. .Objective Data Mental Status Exam Physical Exam (as appropriate) vital signs, height, weight, labs or other relevant

MSE contains all elements as outlined in addendum..

Is in narrative form and effectively and vividly describes the patients presentation. Concrete examples of all assessment results are included ie. able to correctly interpret 2/3 simple proverbs to validate documentation of abstract thought intact.

8. Assessment

Differential is pertinent to S&S, formulation contains evidence of critical thought and subject knowledge, and reasonable diagnoses are made per DSM-5. Clearly met criteria for diagnoses tendered are explicit in the HPI description and substantiated with the MSE.

9. Plan

Evidence-based treatment plan is presented with detailed rationales. Level of detail reflects the students ability to choose treatments based not only on FDA approval or current evidence but also the nuances and unique characteristics of each. Treatment plan is holistic and comprehensive. There is strong evidence of the students synthesis of information and critical thought.

10. Writing, support APA

The format is consistent with the example provided in the course. Strong, recent (5-7 years), scholarly, peer- reviewed support of topics. No grammar, spelling, and punctuation errors. Writing mechanics are consistent with formal scholarly work. No errors in APA style based upon the required APA manuals listed on the course syllabi

INFORMATION ABOUT THE PATIENT.

Name: JA

Age 79yr old

Time of Encounter: 3/2/2026

Subjective:

Patient states he is hanging in there and that he does not know why he is back in the hospital. Per wife at bedside, she was dissatisfied with the care he received at the rehab facility after pt was discharged from PYP Hospital on 2/27 and reports that he has been experiencing periods of confusion.

Objective

Visit Vitals

BP 109/55 (BP Location: Left arm)

Pulse 63

Temp 37.3 C (99.1 F) (Oral)

Resp 18

Ht 1.778 m

Wt 81.7 kg

SpO2 91%

BMI 25.84 kg/m2

Smoking Status Former

BSA 2.01 m2

Mental Status Examination:

Appearance: Wearing hospital scrubs and In no apparent distress

Behavior: Calm and Cooperative

Psychomotor: Calm; No EPS, Tremors, or Tics Noted

Speech: Slowed rate, Decreased volume, and Mumbled

Mood: “hanging in there”

Affect: Appropriate and Normal range

Thought Process: Linear and Goal-directed

Thought Content

-Suicidal Ideation: Denies Suicidal Ideation

-Homicidal Ideation: Denies Homicidal Ideation

-Delusions/Paranoia: No evidence of Paranoia/Delusions

Perception

-Hallucinations: Denies Auditory Hallucinations, Denies Visual Hallucinations

-Internal Preoccupation: Does not appear internally preoccupied

Attention: Fair

Concentration: Fair

Recent Memory: Fair

Remote Memory: Fair

Insight: Fair

Judgement: Limited

Impulse Control: Limited

Medication

cloNIDine 0.1 mg oral q12h

haloperidoL lactate 2 mg intravenous At bedtime

lamoTRIgine 200 mg oral BID

sertraline 50 mg oral Daily

haloperidoL lactate 2 mg intravenous q4h PRN

Or

haloperidol 2 mg oral q4h PRN

EKG:

2/28/2026: Qtc 408

Sinus Rhythm With Occasional Premature Ventricular Complexes

T Wave Abnormality, Consider Inferior Ischemia

Abnormal Ecg

WHEN COMPARED WITH ECG OF 26-Feb-2026 08:57,

Premature Ventricular Complexes Are Now Present

T Wave Inversion Now Evident In Inferior Leads

Nonspecific T Wave Abnormality Now Evident In Anterolateral Leads

Impression:

79 y.o. Male with PMHx BPH, frequent UTI, CKD4, Gout, Anemia, Secondary HTN 2/2 Adrenal Adenoma, HLD, Seizures, Depression, OSA, and calcified stable meningiomas, who returned to the ED 1 day after discharge due to altered mental status/aggression. Pt was hospitalized at PYP Hospital 2/21-2/27/26 for UTI and AMS management. Pt was discharged to rehab where he had a new aggressive episode and was subsequently returned to PYP Hospital on 2/28/26. Psychiatry was re-consulted for AMS.

Diagnoses:

Delirium, unspecified cause, Bipolar Disorder, Depression

Recommendations:

Continue Haldol 2 mg IV at bedtime

Continue Haldol 2 mg IV q4H PRN for agitation

Continue Zoloft 50 mg daily

Maintain Mg >2 and K >4

Follow EKG daily and hold standing Haldol if Qtc > 500ms

A sample Psych eval is attached to this assignment

11 grade assignment doc attached

A minimum of 500 words, consisting of:

A 100-word summary of each of the three articles below (total of 300 words):

A 200-word answer to the question, “What is Terrorism?” after reading and evaluating the three articles.

Write in APA style and formatting.

Articles to summarize and analyze:

1. http://www.slate.com/articles/news_and_politics/the_good_fight/2017/11/new_york_vs_texas_there_s_a_reason_we_don_t_call_every_attack_terrorism.html

2. https://www.brookings.edu/articles/should-we-treat-domestic-terrorists-the-way-we-treat-isis-what-works-and-what-doesnt/

3. https://www.lawfareblog.com/criminal-law-should-treat-domestic-terrorism-moral-equivalent-international-terrorism

Instructions

Brief Report APA format

Using your outline from week 1 as a guide, submit a minimum of 5 pages of the research you have completed on your topic to date. You should have an introduction and a beginning of a Literature Review for this assignment. You must include a Cover Page, and list of References (not included in 5 page count).

I need a power point presentation following all the rules in there, refering to whatever website and make sure it is AI free as well as frist page for introduction and the last page for sources

Maltego: Please use the free version (Basic/Graph/Community Edition) you can download here for any operating system:

DefCon Video:

This week you are asked to do an business-focused investigation similar to the first 11 minutes of the DefCon video from this week. Go on Amazon, find a product that appears to be a possible knock-off and investigate the company from the listing using OSINT on any public digital footprint, public business records, and associated goods.

• Plan to leverage OSINT tools from Rae Baker’s site, OSINT framework site, Google dorks, and free Maltego transforms.
• Document your findings in Maltego.
• Submit a readable Maltego screenshot or Export as Image in Maltego and submit PNG file.
• See rubric for grading.

follow instructions and use template

The book is The fourth edition of Nutrition Therapy and Pathophysiology is authored by Marcia Nahikian-Nelms and Kathryn P. Sucher

Questions:

1. USE THE TABLE 7.2 (CHAPTER 7) WHAT IS YOUR HYDRATION RECOMMENDATION? ( PLEASE USE THE FORMULA GIVEN IN TABLE 7.2)

2. CHOOSE AN ELECTROLYTE DISCUSSED, POTASSIUM, SODIUM, OR CHLORIDE, THEN EXPLAIN THE CONNECTION THAT IT HAS TO THE DISEASE OR CONDITION. PLEASE USE A 5- year current PEER-REVIeWED JOURNAL TO SUPPORT YOUR POINT OF VIEW.

3. THEN EXPLAIN WHY H20 IS SO IMPORTANT TO ONE’S HEALTH. Again PLEASE SUPPORT YOUR POINT OF VIEW WITH A 5-year current PEER-REVIEWED JOURNAL.

REPLY 1&2 = 10 points total

Respond to 2 different classmates about either question #2 or #3

PLEASE remember to support YOUR REPLY POST with a 5- year current PEER-REVIEWED JOURNAL, for each reply

QUESTIONS:

2. CHOOSE AN ELECTROLYTE DISCUSSED, POTASSIUM, SODIUM, OR CHLORIDE, THEN EXPLAIN THE CONNECTION THAT IT HAS TO THE DISEASE OR CONDITION. PLEASE USE A PEER-REVIWED JOURNAL ( FIVE YEARS CURRENT!!!) TO SUPPORT YOUR POINT OF VIEW.

3. THEN EXPLAIN WHY H20 IS SO IMPORTANT TO ONE’S HEALTH. PLEASE SUPPORT YOUR POINT OF VIEW WITH A PEER-REVIEWED JOURNAL.

Here are the replies that you have to write to respond back to:

1.

My Hydration Recommendation:

Body Surface Area (BSA)=(height(cm)weight(kg))/3600

BSA=(162.56 cm61.24 kg)/3600 =1.66m2

1.66m21500mL= 2490 mL/day = 84 oz/day

2. Hyperkalemia is an electrolyte disorder in which the body has too much potassium and is defined as having serum potassium levels greater than 5.5 mEq/L. Hyperkalemia is typically caused by inadequate excretion of potassium, most commonly due to renal failure. Another cause is excessive use of a diuretic known as Aldosterone, which can result in too much excretion of potassium. With elevated levels of potassium, a person may experience neuromuscular effects, palpitations, chest pain, and, in some cases, fatal arrhythmias. (Nahikian-Nelms et al, 2020).

While chronic kidney disease results in a gradual rise in potassium levels, a rapid rise in potassium levels can be fatal. Cardiac arrest induced by hyperkalemia is usually fatal unless return of spontaneous circulation (ROSC) takes place. A recent peer-reviewed journal discussed a case report that demonstrates the severity of hyperkalemia-induced cardiac arrest. In the case report, a 78-year-old pt experienced cardiac arrest due to severe hyperkalemia, in which her serum potassium levels were 7.0 mmol/L. However, CPR was initiated, an AED was used to shock the heart, and aggressive medical treatment was used to correct their potassium imbalance. ROSC was achieved, and the patient survived without neurological damage (Freitas et al, 2021). This case highlights how dangerous hyperkalemia can be, especially since it may present fatally, such as when a patient experiences cardiac arrest.

3. Water makes up a large portion of the body, and it is also involved in my physiological processes such as metabolism, nutrient transport, temperature regulation, and waste removal. It is important to have adequate hydration to allow our organs to function properly. When our body does not have enough water, dehydration takes place, resulting in negative effects on our metabolism, digestion, and cardiovascular function. Water is especially important to ones health to help maintain proper water and electrolyte balance in the human body. Water dissolves and transports electrolytes such as potassium, calcium, and sodium throughout the body to allow cells, nerves, and muscles to function properly (Nahikian-Nelms et al, 2020).

Water also has numerous effects on gut function, with inadequate hydration having negative effects on gut homeostasis. Inadequate water consumption can result in a person being constipated without necessarily being dehydrated. This can change the number and composition of the gut microbiota, such as decreasing immune cells Th17 within the colon(Sato et al, 2024). Therefore, adequate water intake is necessary to maintain immunological homeostasis in the gut to help defend the host against dangerous pathogens.

Citations:

Freitas, P., Duque, S., Pinto, M., Costa, M., Correia, M. J., Sousa, A., Carvalho, A., Batalha, V., & Campos, L. (2021, November 16). Cardiac Arrest by Hyperkalemia – Fast Diagnosis and Therapeutics as Predictors of Good Outcome. Science Direct. https://linkinghub.elsevier.com/retrieve/

Nahikian-Nelms, M., & Sucher, K. P. (2020). Nutrition therapy and pathophysiology. Cengage.

Sato, K., Hara-Chikuma, M., Yasui, M., Inoue, J., & Kim, Y.-G. (2024, January 15). Sufficient water intake maintains the gut microbiota and immune homeostasis and promotes pathogen elimination: IScience. iScience. https://www.cell.com/iscience/fulltext/S2589-0042(24)01125-8

1. 85.4 ounces.

35 mL x 85.4= 2,704.5

2. I selected sodium due to its well-established association with hypertension (high blood pressure). Sodium is essential for regulating extracellular fluid volume. Absurd sodium intake leads to water retention and increased blood volume, elevating blood pressure and placing additional strain on the cardiovascular system.

Chronic high salt intake is strongly associated with an increased risk of cardiovascular disease, stroke, and kidney disease. A 2022 peer-reviewed review in Nutrients concluded that high sodium consumption substantially contributes to hypertension and cardiovascular mortality, while reducing sodium intake lowers blood pressure across populations (Grillo et al., 2022). The authors emphasize that sodium reduction is among the most effective public health strategies to decrease cardiovascular disease risk. These results indicate a direct relationship between electrolyte imbalance and the pathophysiology of disease.

Reference

Grillo, A., Salvi, L., Coruzzi, P., Salvi, P., & Parati, G. (2022). Sodium intake and hypertension. Nutrients, 14(9), 1970. https://doi.org/10.3390/nu14091970 Links to an external site.

Water is important for nearly all physiological functions. It regulates body temperature, maintains blood volume, and facilitates the transport of nutrients and oxygen.

A 2023 peer-reviewed article in Nutrients found that chronic low water intake is associated with an increased risk of kidney dysfunction and metabolic disorders. Good hydration promotes cardiovascular stability and supports electrolyte balance, thereby preventing complications such as hypotension, heat illness, and kidney stones (Perrier et al., 2023).

Reference

Perrier, E. T., et al. (2023). Hydration and health outcomes: A review. Nutrients, 15(3), 512. https://doi.org/10.3390/nu15030512

Rewrite this graduate level lactation case study so it sounds like it was written by a human graduate student in a clinical health program.

Maintain all clinical accuracy and reasoning but adjust the tone to sound more natural, reflective, and conversational while still professional.

Avoid overly formal or robotic phrasing.

Use transitions and clinical reasoning phrases such as “in this situation,” “one factor that stands out,” and “from a lactation perspective.”

Do not remove important details or simplify the analysis.

Keep the structure appropriate for an academic assignment in human lactation or maternal child health.

1. Science vs. Religion
2. Proposition: Scientific knowledge should guide our understanding of the natural world. Opposition: The Bible is the primary and authoritative source of knowledge.
3. Freedom of Thought vs.
4. Social Conformity Proposition: Individuals must have the freedom to think, question, and explore ideas-even controversial ones. Opposition: Communities have the right to enforce shared beliefs and suppress ideas they consider dangerous.
5. Separation of Church and State vs. Religious Influence in Public Institutions
6. Proposition: There should be a clear separation between religious doctrine and government policy. Opposition: Public institutions-including schools-should reinforce the community’s religious values.
7. Inherit the Wind (1999) is built around a series of major, competing arguments-each one representing a deeper philosophical conflict about knowledge, freedom, education, religion, and democracy. The film dramatizes these arguments through courtroom exchanges, public speeches, and personal conversations. You may choose any of the following conflicting arguments depicted in the film or write your own assertions.
8. Your task is to:
9. Identify complete arguments from the film (each must include a clear assertion being argued, reasoning, and evidence).
10. Explain these arguments in your own words, demonstrating that you understand how they function in the film.
11. Take a position on the issue(s) by constructing your own arguments using logical reasoning, examples from the film, research about the historical case State of Tennessee v. John T. Scopes, and academic sources.
12. Support your claims with credible evidence and cite all sources using APA style.
13. Assignment Instructions: In this assignment, you will write a 2-3 page position paper in which you identify, analyze, and respond to complete arguments presented in the film Inherit the Wind (1999). You will choose one side of one or more of the major conflicting arguments depicted in the film and construct your own argument in response. Use your Argument Identification Worksheet as a resource.