Outline for Treatment Approaches Essay Example for Free

Outline for Treatment Approaches Essay There are types of approaches to help an individual with recovering from drug and substance abuse. The approaches that are being looked at to help someone recover is Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), Medication Management, Community Reinforcement Approach (CRA), and Community Reinforcement and Family Training Approach (CRAFT). Cognitive-Behavioral Therapy Cognitive behavioral; therapy (CBT) was developed as an aide to prevent relapse when treating addiction. CBT is based on the principle that the learning process is important in dealing with male adaptive behaviors like substance abuse. It is a process of identifying problematic behaviors and corrects them with various skills to fight addiction. CBT is based on identifying an individual’s problems and helping the individual’s self-control by developing the ways to cope with the problems effectively. This is done by evaluating the consequences of the substance abuse positive and negative, self-monitoring and recognizing the cravings and their triggers, and developing strategies to cope with the cravings and the triggers. Avoiding the trigger situations also help. In CBT an individual may have a support group to depend on during the recovery process. Such a group is helpful while a person is struggling with solutions. The group also gives positive encouragement during stressful times. In CBT an individual addict is encouraged for positive thinking rather than dwelling in negative thought patterns. CBT can help addicts with low self-esteem to improve their self-esteem which helps in fighting addiction. In CBT an individual learns to resist peer pressure. During CBT an individual can continue his/her normal activities which avoids strained relationships and financial crises.  It is a gradual process both in learning, maintaining and being on their own. It is also very cost effective therapy(National Institute on Drug Abuse, 2014). Motivational Enhancement Therapy Motivational Enhancement Therapy (MET) is a counseling approach that helps individual’s confusing dilemma about the treatment of substance abuse and stopping substance abuse. MET is based on the principles of motivational interviewing. It draws self-motivational statements early on in early discussion and plan for change is built on that. This approach engages the addict in building the plan. Based on their own motivations as oppose to societal. People who cannot follow like 12 –steps may benefit from this therapy. Enlightenment can only occur if an individual wants to learn and MET is centered on this insight. Using peoples own statements about desired better outcomes initial resistance is countered after this is achieved an introduction of behavioral techniques can be introduced to support and individual’s ability to fend for him/herself. MET is often used with other cognitive behavioral approaches. MET could go a long way in offering insights for those effective by many mental illness. With this therapy one can heal from other associated problems like anxiety and depression for life style change (The Ranch, 2014). Medication Management Medication Management is when medical care is an option to help someone reduce the risk of drug abuse. It is usually a pharmacists or physicians that help with medication management by lowering the medications based on the side effects and how the person is with taking the medications. It is that the doctor will ask brief questions about the medications and the feel you need therapy or counseling that will then get set up (McNeece, 2012). Community Treatment Approach (CRA) The Community Reinforcement approach is an alcoholism treatment approach that aims to achieve the addict from looking at positive reinforcement for living a sober free lifestyle and to eliminate all enforcement or influences to drink or do drugs (Miller, 2014). This treatment approach embraces positive incentives to stop drinking or doing drugs verses punishing the addict for the continued abuse (Miller, 2014). Community Reinforcement Approach and Family Training Intervention (CRAFT) This approach is an intervention that is based scientifically on intervention strategies designed to help the family members or those concerned with the addict, (CSO), concerned significant others, to help in the facilitation of the addict entering treatment to gain sobriety (Meyers, 2014). This new intervention method was developed with the belief that since family members can, and do make important contribution in other areas of addiction treatment (Meyers, 2014). Conclusion Treatments for people with problems with drug and substance abuse can be helpful when it comes to recovery. The treatment approaches help with managing medications, giving the individual counseling, or even prevention from relapsing back to the addiction. All of these approaches help an individual become healthier and live a longer life. References McNeece, C. A., DiNitto, D. M. (2012). Chemical dependency: A systems approach (4th ed.). Upper Saddle River, NJ: Pearson National Institute on Drug Abuse. (n.n.). Retrieved from https://www.drugabuse.gov/ The Ranch. (2014). Retrieved from http://www.recoveryranch.com/ Meyers, R. (2014). CRAFT. Retrieved from http://http://www.robertjmeyersphd.com/craft.html Miller, W. (2014). The Community-Reinforcement Approach. Retrieved from http://http://www.addictioninfo.org/articles/381/1/The-Community-Reinforcement-Approach/Page1.html

Radio Frequency Identification (RFID) Essay -- Radio Frequency Identif

The innovation of the RFID chip or the Radio Frequency Identification has been a critical piece of technology that has been around since the early/mid 20th century (est 1938). Functions of a radio frequency identification (RFID) tagging system involves a tag and a reader. When scanned, the antenna within the tag picks up the radio wave and sends a response back to the reader. This technology is being used for both short range and also long range identification, in the short-range identification category, this innovation is used in practical applications like credit cards (pay wave, tap and go ect...), animal identification (domestic pets, farm animals). The long range applications of the RFID chip is used in aeroplanes to bounce back a signal to radio control signifying their plane identification, the long range application of the chip is used in many other systems for similar purposes. the RFID chip is used all around the would and has and is readily available for the past few decades. The RFID chip is used by many agencies including federal agencies and also used for municipal and state and also local agencies. E.G.. RFID for Federal Agencies * Border and Immigration Security * Cargo and Container Security * Food and Cold Chain Safety (Product Authentication and Temperature Tracking) * Livestock & AgricultureTracking * Military Personnel Relocation Services * Military Supply Chain (Supply chain Shipping, * Receiving and Logistics) * Pharmaceutical Track and Trace Trusted Traveler Control Systems aeroplane tracking/ID RFID for Municipal and State and Local Agencies * Asset & Inventory Control * Firefighter Locationing /Emergency Service Personnel Locationing * First Responder Evacuation Services * Lib... ...lter, 2001, pp. 445--456) Motorolasolutions.com. 2014. RFID Government Solutions - Motorola Solutions USA. [online] Available at: http://www.motorolasolutions.com/US-EN/Business+Solutions/Industry+Solutions/Government/Airports+and+Seaports/RFID_Government_Solutions_US-EN Wikipedia. 2014. Radio-frequency identification. [online] Available at: http://en.wikipedia.org/wiki/Radio-frequency_identification [Accessed: 11 Feb 2014]. Wikipedia. 2014. Digital Revolution. [online] Available at: http://en.wikipedia.org/wiki/Digital_Revolution Wikipedia. 2014. Near field communication. [online] Available at: http://en.wikipedia.org/wiki/Near_field_communication Idtechex.com. 2014. RFID Forecasts, Players and Opportunities 2012-2022: IDTechEx. [online] Available at: http://www.idtechex.com/research/reports/rfid-forecasts-players-and-opportunities-2012-2022-000322.asp

Diabetic Management Plan

Diabetes Mellitus is a disease known to humans since the ancient times. Hieroglyphics of Egypt, which dated back in 1500 BC, illustrated symptoms of diabetes. During this time, people depicted diabetes to be type 2 only and type 1 diabetes is a newly discovered disease. However, this has been made clear by researches and studies that type 2 diabetes is different from type 1 diabetes (Hanas 2007). In the present, cases of diabetes continuously rise especially cases of type 1 diabetes.Type 1 diabetes is an insulin dependent diabetes that is common to children and teenagers. Here, the body totally does not produce insulin rendering the glucose useless for an individual (Fox and Kilvert 2007). The glucose level on the blood rises and affects certain body functions making the individual seek medical attention. Diabetes has no cure. When one has diabetes, he or she has it for lifetime. However, certain ways in managing diabetes, whether it is type 1 or type 2, are found but with considerat ion to medication, activity, and diet.Strict adherence to medication regimen is useful in preventing the development of diabetic complications. Regular exercise or physical activity as well as proper eating habits is also proven to help lower blood sugar levels making it controllable. In addition, frequent monitoring of blood glucose will allow an individual to anticipate and act in response to the previously read glucose level. The Case of Jodie Jodie is a 17-year-old girl who has just been diagnosed with type 1 diabetes following admission to the local Emergency Department in DKA.She is currently studying year 12 at high school, plays netball every Saturday afternoon and enjoys going to parties with her friends. Jodie weighs 55kg with a BMI of 20. She lives happily at home with her parents and older brother. Jodie has been commenced on a basal bolus insulin regimen using Humalog and Levemir. Nutritional Management Managing diet is also a key factor in proper management of diabetes . It is important to emphasize to the client and the family that the client is not taking a diabetic diet but rather a balanced meal.Emphasis must also be considered on the ethnicity of the client as well as cultural and religious background of the patient. Before taking these into considerations, it is important to know the basic caloric intake of the client. By multiplying the weight of the Jodie in pounds (121 lbs) to 10 (constant multiplier for female), you will come up with a total of 1210. This is the basic caloric need of Jodie. Multiplying the basic caloric need (1210) with 0. 40 (constant multiplier for rigorous activity) will come up with a resulting activity based caloric needs (605).Calories for digestion can also be calculated by multiplying the sum of basic caloric intake and activity based caloric needs (1210 + 605) to 0. 10 (constant number). The result would be 181. 5. Lastly, compute for the total daily caloric intake by summing up the basic caloric intake, activit y based caloric intake, and calories needed for digestion (1210 + 605 + 181. 5). The result would be 1996. 5. This is the caloric needs of Jodie every Saturday since she is engaged in netball and partying with her friends. On the other hand, the caloric intake of Jodie from Monday to Friday and Sunday would be 1863. 4.Upon computing the daily caloric intake of Jodie, it can be concluded that energy needs varies among individuals on a daily basis, and depends greatly on the age, gender, and ethnicity (â€Å"How to Calculate Your Total Daily Calorie Needs † 2010). Smart, Aslander-van Vliet and Waldron (2009) proposed how total caloric intake must be distributed: Carbohydrates must constitute about 50-55%; fats must be 30-35%; protein must be 10-15%; and sucrose must be 10%.Therefore, Jodie must have a carbohydrate intake of 931. 7-1024. 87 calories (M-F, Sun) and 998. 25-1098. 08 calories(Sat); fat intake of 559. 02-654. 19 calories (M-F, Sun) and 598. 5-698. 78 calories (Sat); protein intake of 186. 34-279. 51 calories (M-F, Sun) and 199. 65-299. 48 calories (Sat); and sucrose intake of 186. 34 (M-F, Sun) and 199. 65 (Sat). When taking carbohydrate rich food, it might be necessary to include healthy sources like vegetables, fruits, legumes, whole grains, and low fat milk. Take into consideration other alternatives for the source of food by consulting the carbohydrate exchange table, cabohydrate counting and the use of glycemic load and index. In the consumption of fat, food with saturated fat must be limited to less than seven percent of total caloric intake.Every week, two or more servings of fish is permissible but with exemption to the commercially produced fish fillet (American Diabetes Association 2007). Replace saturated fats with monounsaturated fatty acids and polyunsaturated fatty acids through the use of low fat dairy products, lean meats, olive and sesame seed oil, sunflower oil, corn oil, and soybean oil. Encourage intake of protein from vege tables (legumes) and animals (lean meat, fish, low dairy products) because it promotes growth and is a good source of nitrogen for the body. Take also into consideration that the salt intake of the client must be less than 6 grams per day.Advise those individuals who prepare the food that they should avoid adding salt in cooking and in meals. In addition, excessive alcohol should be avoided because it interferes with gluconeogenesis resulting to prolonged hypoglycemia. The patient must also be advised to wear identifications about her diabetes, and consume carbohydrates before, during, and after drinking. Drinking, on the other hand, must be done in moderation and must consume drinks with reduced alcohol content. Prevent nocturnal hypoglycemia by consuming carbohydrate-rich bedtime snack.Blood glucose monitoring must be done more often at night until lunchtime of the following day (Smart 2009). Monitoring Patients with Diabetes Knowing that diabetes can lead to some serious complica tions, it is better if one should know the things that he/she should monitor in order to prevent these complications. One should have vigilant monitoring of blood sugar. Scientific evidence shows that tightly controlling blood sugar levels can prevent the development and progression of small blood vessel (microvascular) disease and nerve disease (neuropathy) (Wendt 2009).Since high blood sugar is considered as the culprit to most of the diabetic complications, monitoring blood glucose by the patient is extremely important to prevent consequences from unmonitored blood glucose. Low glucose level may lead to hypoglycemia. Mild hypoglycemia can cause a person to feel uncomfortable and can interfere with his normal functioning. However, severe hypoglycemia can cause seizure, loss of consciousness, and coma (Kelly 2006). Avoiding highs and lows in blood sugar will not only make the patient feel better, but will significantly reduce his/her risk of diabetes complications.Cholesterol level s should also be monitored. A test done to monitor the cholesterol level of a diabetic person is called fasting lipid profile. It is a blood test that measures the total cholesterol, HDL and LDL cholesterol levels, and triglyceride levels in the bloodstream. It is also used to assess the risk for the development of coronary artery disease, one of the predisposing factors for heart attack (Kaufman 2010). Knowing that cholesterol affects the blood vessels of the retina and the heart gives the health provider a clue that any significant increase in the level would necessitate immediate monitoring and intervention.If cholesterol is controlled, the risk of developing complications is greatly reduced. Keeping track of blood pressure is important because people who have diabetes tend to have more trouble with high blood pressure than people who do not have the disease. Having both diabetes and high blood pressure can pack a damaging one-two punch as far as increasing the risk of heart dise ase, stroke, and eye, kidney and nerve complications (Manzella 2006). Elevated blood pressure increases blood flow into the eye, accelerating diabetic retinopathy (Chous 2006). Knowing the early signs and symptoms are also key in preventing diabetic complications.However, diabetic retinopathy has no early signs and symptoms. Jodie then must be aware of the yearly eye examination that must be done after the preliminary examination within 5 years after the diagnosis of diabetes (â€Å"Diabetes† 2010). Dilated eye examination must be done every year by an optometrist or ophthalmologist knowledgeable about and experienced with diabetes and diabetic eye disease (Chous 2006) in order to know the extent of eye affectation. Both the patient and the health provider should also monitor some signs and symptoms to prevent blindness. Any concern with regard to the patient's vision must be taken seriously.Be aware if the patient complains of suspended dark spots that interferes with his/he r vision. It may indicate blood leak to the vitreous humor, which can lead to blindness. Also, take into consideration the increasing difficulty in performing things that require focus such as reading and sewing. Amputations can also be prevented if the patient has vigilant foot care. Foot care is important since the patient with diabetes has decreased sensation on the lower extremities. Preventive measures would include watching for signs and symptoms of impending ulceration.The patient and the health provider should be aware of any swelling, thick hard skin or corns, and any blisters or breaks on the skin. Take good care of small cuts and abrasions immediately. When choosing shoes, make sure that they fit well and allow the toes to move freely. Another complication of type 1 diabetes is diabetic ketoacidosis, the reason why Jodie was rushed to the emergency department. The goal for the management of DKA is the correction of fluid and electrolyte imbalances, restoration of circulat ing blood volume to normal, and identification and correction of factors that contributes to the development of diabetic ketoacidosis.Correction of circulating blood volume starts with the infusion of 1000 ml of 0. 9 percent sodium chloride for the first hour followed by the infusion of 2000 ml to 8000 ml for the next 24 hours. Assess client’s skin turgor, weight and hematocrit because these will serve as markers for the efficacy of intravenous therapy. Potassium must also be monitored because this electrolyte leaves the cells in ketoacidosis. When dealing with this, several points must be considered during the assessment and intervention phase. Frequently assess the patient’s urine output.Take note of the amount of urine when administering potassium to the client. If the urine is less than 30 ml per hour, halt the administration of the potassium and notify the physician immediately. Continuously monitor the client for signs of hyperkalemia (oliguria, weakness, bradyca rdia, cardiac arrest) and hypokalemia (weakness, paralytic ileus, cardiac arrest). Hyperkalemia may ensue for the first 4 hours of treatment while hypokalemia may develop after 4 hours up to 24 hours. Monitor the client’s ECG and take note of T wave.Its flattening or inversion may signify hypokalemia while peaking of T wave may indicate hyperkalemia (Brunner, O'Connell Smeltzer and Suddarth, 2008). Medications for Diabetes According to Hanas (2007), the American Diabetes Association instituted the individualization of blood glucose goals, with goals higher to those individuals with frequent hypoglycemic attacks. Suggestions were also made on the level of blood glucose for each age group. Jodie, a 17 year old teenager, belongs to the adolescent group (13-19). It was stated that before meals, an ideal blood glucose level is 5-7 mmol/L or 90-130 mg/dl.At bedtime or overnight, she must have a blood glucose level of 5-8 mmol/L or 90-150 mg/dl. To accomplish this goal, Jodie is pre scribed with Humalog and Levemir in order to facilitate the entry of glucose in the cells thereby preventing the increase of glucose level in the blood. Humalog is a fast- or rapid acting insulin analog that takes effect on the body after injecting it. Since it is an analog, it considered as a variation of human insulin and tends to mimic its action from the time it is secreted by the pancreas.When taking this drug, inform the client to use disposable, sterile needles or pen. Rotate the injection sites to prevent complications like lipodystrophy. Take this drug at the same time every day. Allot a 15 minute allowance before taking a meal prior to its administration. To prevent hyperglycemia, take this drug with long acting insulin such as the Levemir (Griffith and Moore 2006). Instruct the patient to seek medical attention immediately if she experiences symptoms such as rash, hive, intense itching, and difficulty in breathing after taking a dose.This suggests an anaphylaxis reaction and is life-threatening. Although infrequent, instruct the patient to take quick-acting sugar such as honey or fruit juice whenever she experiences excessive hunger, cold sweats, cold skin, shakiness, chills, or vision changes. This signifies that she is experiencing low blood sugar or hypoglycemia. On the other hand, Levemir is long-acting, man-made insulin that may last for 24 hours after administration. Instruct patient to use only Levemir when the vial appears to be colorless and clear. Presence of air bubbles is considered normal.However, do not administer the drug if it looks colored, cloudy or thickened. Inject drug into subcutaneous part of the body such as the stomach, thighs, and upper arms. Just like in Humalog, rotate the injection sites to prevent lipodystrophy. The patient may also experience hypoglycemia and its treatment is the same as those of Humalog (Novo Nordisk, Inc. 2009). When taking this drug, instruct her to avoid intake of alcohol as this may increase the e ffect of insulin resulting to blood glucose problems (Griffith 2006). One should also take note on the time Levemir will take effect.Levemir injected at bedtime or 10 pm (for multiple injection therapy) will have its effect during the night and breakfast. It can also be used as a two dose treatment: one in the morning and one in the dinner. Insulin injected in the morning will take effect on the lunch and afternoon while insulin injected during dinner will take effect on evening and night. Bedtime snack is necessary then to avoid night time hypoglycemia (Hanas 2007). It is also necessary to take insulin before meals. When taking Humalog as pre-breakfast insulin, it is better if Jodie should monitor her blood glucose.The time elapsed before the administration of pre-breakfast insulin depends on the level of blood glucose she has in the morning. Blood Glucose Levels Rapid Acting Insulin (Humalog) Ordinary or Short Acting Insulin mmol/L mg/dl < 3 < 55 After the meal Just before 3 †“ 5 55 – 90 Just before 15 minutes before 5 – 10 90 – 180 Just before 30 minutes before 10 – 14 180 – 250 10 minutes before 45 minutes before ? 14 ? 250 20 minutes before 60 minutes before Source: Hanas, R. (2007).Type 1 Diabetes in Children, Adolescents, and Young Adults: How to become an expert on your own diabetes (3rd ed. . United Kingdom: Class Publishing Ltd. Checking blood glucose before lunch is also necessary. When using rapid acting insulin, a blood glucose reading taken two hours after breakfast is enough. Blood Glucose Measure < 4 mmol/L < 70 mg/dl Decrease the insulin dose at breakfast by one to two units > 8 mmol/L > 145 mg/dl Increase the insulin dose at breakfast by one to two units Patient experiences cold sweat, hunger, shakiness (signs of hypoglycemia) between breakfast and lunch. Decrease the insulin dose at breakfast by one to two units Source: Hanas, R. (2007).Type 1 Diabetes in Children, Adolescents, and Young Adults: How t o become an expert on your own diabetes (3rd ed. ). United Kingdom: Class Publishing Ltd The Concept of Psychology in Diabetes Adolescence is the time during which an individual attempts to establish their identity and begin involving themselves into sexual relationships. As an adolescent grew, the client will begin to take responsibilities with his or her action. Add up to these responsibilities are those involving their management of diabetes. The challenge here does not only involve the adolescent but also the health care provider and the family itself.Adolescent are in the position wherein they are faced with developmental tasks needed to accomplish in addition to the need of managing their lives with diabetes. Health care providers and family must also consider their actions to make sure that treatment and regimens do not interfere with age-related activities of the adolescent thereby allowing growth and development (Snoek and Skinner 2005). Several complications in diabetes ar e also found to be associated with poor parental interaction of the adolescent’s diabetes management. DKA is one of these complications.Snoek and Skinner (2005) revealed that individuals belonging to a family that lacks support and warmth are typical to hose patients who have DKA. Moreover, diabetic individuals who have unresolved family problems and lack of parental participation in the treatment have a tendency to belong in this population with DKA. It was also linked that the possibility of child abuse (physical, sexual or social) may be triggering factor an adolescent ran away from home skipping his/her dose of insulin. Another possibility is that an adolescent is undergoing the phase of rebellion or rejection.Lifestyle management for teenagers with diabetes may result to resentful feelings as well as the stage of rejection. Consequently, the adolescent omits his/her insulin dose but this is considered to be part of how an adolescent adopts to his/her life of a diabetic p erson (Snoek 2005). To provide solutions with this problem, a scheduled telephone call every two to three weeks may be used to provide assistance and support to the patient through the use of problem solving techniques. Motivational interviewing (MI), which is a collaborative approach between patient and the health care provider, can also be utilized.It is a directive approach that aims to resolve patient’s anxiety and ambivalence regarding diabetic management by supporting the adolescent and respecting their decisions regarding diabetes management (Miller and Rollnick 2005). With this, an individual will report less worry and anxiety, and satisfaction with the present life and a more positive outlook (Snoek 2005). Patient Education Approach Educational tools are used to disseminate information and knowledge in order to maximize the management of blood glucose and prevent complications from it.Since no study shows which type of teaching methods is appropriate for education, i ts approach must be varied but is well adapted to the age of the child and the needs of the family. It must not be too rigid that it invokes confusion and failure resulting to distress and harm on the part of the adolescent and family (Funnel and Anderson 2004). Health education tools may include the use of food pyramid and plate models that will advocate the basics of nutrition and healthy eating habits.Extensive patient education may also be necessary for adolescents and the families to help them estimates the amount of carbohydrates in foods, its exchange or portions. Education can also include guides on how to read food labels and how to recognize the nutritional content of food. Several methods are also instituted to facilitate adolescent’s learning in measuring carbohydrates. Exchange or portion system, carbohydrate counting, and glycemic index and glycemic load are some of these methods (Smart 2009).

Intercultural Communication At A Multicultural Classroom...

Intercultural communication case study report in a multicultural classroom in Brisbane metropolitan Name Course Institution Tutor Theoretical background of the study There are various global and local issues which relate to culture which have brought a lot of controversies on whether children should directly engage themselves with people from different cultures and ethnic backgrounds. This is very important for the tutors who teach students on the way of interacting with people from different backgrounds in order to stay in harmony and at peace with each other. This research paper will investigate the intercultural communication to students and how they should communicate to people with different backgrounds. Also the research paper emphasizes on how teachers should take that opportunity and start preparing children to involve themselves with others regardless of their ethnicity and their backgrounds. The rate of international migration has recently raised significantly an aspect which has led to various worries. Almost 70 million people all over the world stay and work away from their mother countries. The rate of emigration has risen to one million people each year to the different countries in the world. One of the countries which has been faced with this problem is Australia. This country has a lot of ethnic and diversity in culture which is brought about by the interaction of different people of different cultures. This has caused a problemShow MoreRelatedMulticultural And Multilingual Classrooms : An Effective Learning Environment1241 Words   |  5 Pagesif it is different from their schools cultural teaching style. Multicultural and multilingual classrooms have become the norm in many educational and professional settings throughout the U.S. because of changing immigration patterns caused by globalization (Institute for Educational Leadership, p. 2). 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