A 32-year-old woman comes to the acute care clinic. She states, “I have pain in my knees. I can barely walk up and down stairs.” She weighs 145 pounds and is 5′ 2″. During your assessment, you note her knees have a very small amount of swelling with warmth or redness. You diagnose her with the initial stages of osteoarthritis. She has no allergies and takes trazodone hydrochloride 50 mg PO at night to assist with sleeping and to prevent TMJ symptoms. You determine she needs an anti-inflammatory agent. Using the questions to address when prescribing a medication, determine the best medication to prescribe to the patient.
What are the first line, second line, and third line therapies when prescribing a medication?

Socratic Seminar: The Catcher in the Rye: Due Monday October 15th IN CLASS
Prep work must be 100% complete upon arrival to class to participate in SS! Label each section
clearly! Handwritten notes only.
Paragraphs:
1. Write a paragraph answering the following prompt. 5 sentences minimum. Use ACEIT. Please
count and write the number of sentences you write for each paragraph.
a. What is a theme of the novel and how does Salinger develop it?
2. Write a paragraph answering 1 of the following prompts. 5 sentences minimum. Use ACEIT.
Please count and write the number of sentences you write for each paragraph.
a. How and why is Holden a dynamic character (a character who changes throughout the
story)?
Assertions and Quotes
3. Write 3 thematic statements this novel makes. They should be specific, not plot based, and
complete sentences.
4. For each thematic statement, copy 3 quotes WITH CITATIONS that support your assertion.
Questions
5. Write 3 broad discussion questions about the novel. Make sure they are not yes/no questions;
they should provoke differing opinions, discussion, and critical, analytical thinking.
6. Write 3 TEXT-BASED QUESTIONS about the novel. These should have a specific quote/section
embedded in them. Include the citation. Make sure they are not yes/no questions; they should
provoke differing opinions, discussion, and critical, analytical thinking.
Extension:
7. Find an example of a feature used in the novel. Then:
a. Write an example (or reference the page).
b. Write 2-4 sentences each about why Salinger uses the device (analysis of effects)
Below is AN optional graphic organizer; print and use as needed.

Joe Smith is a 17-year-old Caucasian male (DOB 4-24-98) who was evaluated at a residential substance abuse treatment facility. He was arrested on 05-1-14 for Robbery—Bodily Injury and granted 4 years community supervision.  A Motion to Adjudicate Guilt (MAG) was filed on 09-02-14, after he was arrested a second time for DWI-1^st and taken into custody. The MAG was later dismissed, Joe’s community supervision conditions were amended and he was subsequently committed to the residential substance abuse facility on 12-05-14.

 

CRIMINAL HISTORY

 

DATE of ARREST	OFFENSE	OUTCOME
05-14-14	Robbery—Bodily Injury	Four years Deferred Adjudication and Community Supervision
09-02-14	Driving While Intoxicated-1st	120 Days in detention

 

 

DESCRIPTION OF OFFENSE

 

Joe is currently charged with Robbery – Bodily Injury.  The following provides relevant details of the current offense:

• On 5-14-14 officers responded to a call at a convenience store where the complainant alleged that the defendant assaulted him during an argument by punching him in the stomach several times with a closed hand. The complainant reported that he had just walked out of the convenience store and was approaching his vehicle when the defendant appeared. He indicated the defendant demanded that he give him his phone. When the complainant refused, the defendant struck him in the stomach several times. The defendant then took the complainant’s cell phone and fled the scene. The complainant phoned the police. The police located the defendant and returned him to the scene of the incident, which was a dark parking lot outside a convenience store. The complainant wanted to press charges against the defendant. Mr. Smith was arrested and charged with Robbery – Bodily Injury.

 

CRIMINAL ATTITUDES/THINKING PATTERNS

 

Regarding the robbery offense, Joe alleges that he was out one evening and lost his cell phone.  He needed to get a ride home, and had run into a previous acquaintance from school. He reports that he asked the complainant to allow him to use his cell phone.  When the complainant refused, Joe indicated he “gently shoved him” and “borrowed” the phone to make a call.  He indicated he planned to return the phone later and that the complainant was making a big deal out of nothing.  He admitted he had been drinking the night of the offense.

When asked about the DWI, Joe reports that he had a couple of beers at a birthday party and that the cops were just waiting to catch him doing something.  He indicated he crossed the double yellow line because he was texting a friend.  The breathalyzer administered at the scene indicated Joe was 1 ½ times over the legal limit, which led to his arrest.

When questioned about how he feels about being on probation, Joe indicated he was happy he did not have to go to TDCJ, but that his probation term is “way too long.”  He said he knows a lot of people who have done a lot worse and barely got anything.  When asked what situations he’s going to need to avoid to stay out of trouble, he indicated he has control no matter what situation he’s in—so it doesn’t really matter.   Joe was able to identify the pros and cons of being on probation, indicating that his PO might be able to help him get a better job or maybe finish school.  He indicated he does not intend to get in trouble with the law again—that he’s trying to get back on track.

 

 

COMPANIONS AND RECREATIONAL ACTIVITIES

 

Joe denied having many close acquaintances or friends, reporting he spent most of his leisure time with his father. He indicated that he does hang out with 3 old friends from high school.  Two of these friends have been on probation too, and one has been at the Gainesville State School.  One of these friends were expelled from school; the other two finished.  He indicates that they grew up together so they “had each other’s backs”.  He admitted they would do a lot of things when they were younger that he could have gotten in trouble for, like shoplifting, joyriding, drinking and fighting; Joe never got caught though.  He denied that his friends were ever in a gang. He indicated since he quit his job, he’s been spending a lot more time with his friends.

 

When questioned as to whether he also had friends who have not been in trouble with the law, Joe indicated he knows a few kids from his church who have not, but that he doesn’t have much in common with them so they don’t really hang out.  He indicated his father is very involved with his church, and that his grandmother went twice every week.  He described fellow church members being a source of social support. Joe indicated he spends his leisure time hanging out with friends, seeking employment, attending church, and eating out.  He indicates thought that since he quit school and his job, he has a lot of spare time on his hands.

 

MENTAL HEALTH/SUBSTANCE ABUSE

 

Joe reported he suffered from depressive and anxiety symptoms “all of my life”.  He endorsed depressive symptoms, but did not report a specific episode duration of these mood symptoms. Joe also reported a history of anxiety symptoms.  He denied any history of psychiatric hospitalizations.  Joe also denied any history of self-harm, suicidal or homicidal ideation.

 

Joe reported he first “tried” alcohol when he was 11 years old, but began consuming it on a regular basis when he was 16. He recalled he would “take a shot” of vodka and gin every night to help him sleep.  He reportedly stopped drinking alcohol at age 15 at the urging of his father; however, approximately one year later, he resumed drinking “socially”. Joe stated he last consumed “two or three drinks” on Labor Day 2014, and was arrested for DWI. “Alcohol was never an issue. It only became an issue when I got the DWI.” Joe reported trying marijuana once at age 14, but he denied any history of use or misuse of other drugs.  He reports he still drinks with his friends occasionally.

 

FAMILY BACKGROUND

 

Joe was born and raised in Austin, Texas by his paternal grandmother and an older half-sister since early childhood.  Joe grew up in his grandmother’s home, which was built in the early 1950s.  His family lived in an impoverished area in Austin.  Joe’s biological mother was “in and out” of his life as she was frequently incarcerated throughout his childhood.  When his mother was around, she tended to be abusive.  When she tried to take Joe to raise him on her own, she would have him for just a couple of months at a time.  She did not have the means to care for him and he was often neglected of food, clothing and shelter when under her care.  Eventually, he would go back to live with his grandmother.  His grandmother was very doting over Joe.  She seemed to try to make up for the regular absence of his parents.  This resulted in emotional support from his grandmother, but little structure and expectations for behaviors.  Of the minimal rules that were set, Joe would find ways to get around them.  When he decided to drop out of high school, she responded that he knows enough already.  Joe was very distraught when his grandmother recently passed away.

 

Joe went to live with his biological father in Los Angeles, California in 2000, but returned a year later because “L.A. was gang infested.” Joe reported his mother passed away in prison in 2002, and his father returned to Austin to reside with him and his grandmother. Since his grandmother and half-sister passed away, Joe has lived with his father. He indicated his relationship with his father has improved over the years describing, described him as, “more like a best friend.” Joe’s father attempts to ground him for problem behavior, but has little control over his son, so usually just gives up.  He feels guilty for not always being around, so even when his son gets in trouble, the punishment does not always stick.  Joe stated his father has cancer and besides his father, he considers his church members and friends as his social support in the community.  He is very worried about his father’s health.  They don’t have the money for the treatment he needs and his father is all the family he has.  He also endorsed a significant familial history for alcohol abuse and mental illness.

 

EDUCATION and EMPLOYMENT

 

Joe reported he dropped out of high school in the 11^th grade. He indicated that he “kind of wanted to finish school”, but his friends had almost all dropped out, so that’s what he decided to do.  During his formal years of education, Joe recalled he switched schools frequently due to his “mother’s situation.” He described himself as an “A/B” student when he was younger, but in 3^rd grade he was diagnosed with a learning disability and retained a grade.  Joe was also placed in Special Education classes, which he was very embarrassed about.  He described many of the kids in his class as having more significant physical and mental disabilities, so he did not feel like he belonged in those classes.  Joe denied any history of behavioral or disciplinary problems in school, but dropped out of high school because he was “bored” and had trouble understanding the work.  When asked about connections with teachers, he indicated he had a favorite 2^nd grade teacher, Ms. Meaux, but that he did not really connect with any of the teachers in high school.  He said they treated him like a “dummy” and a “thug”.

 

Joe began working at age 16 at the YMCA. He quit that job since he felt he was not being paid enough.  Joe reported receiving financial assistance from his father, who receives military disability benefits, as well as government assistance through Food Stamps. Joe expressed a desire to study computers upon his return to the community.

 

MEDICAL HISTORY

 

Joe did not report any history of head injury, concussion, unconsciousness, or seizure disorder. He denied he has been treated for any chronic medical conditions or required hospitalization or surgery. However, medical records document Joe has been diagnosed with “neurosyphillis, elevated liver enzymes, and a history of head injury with loss of consciousness.”

 

SOCIAL ENVIRONMENT

 

Joe grew up in the Chernosky area, an eastern suburb of Austin.  Joe described his neighborhood as “okay”, but indicated it was easy to find drugs in the neighborhood and that the police were around a lot.  Over the past 20 years, Austin TX is a community that has experienced much urban growth and expansion.  East Austin has experienced more crime and poverty than the northern and western part of the city.  Joe lived most of his childhood in his grandmother’s home.  The short periods Joe spent with both his mother and father were also in low income and high crime areas.  The year that he lived in LA with his father was a difficult one.  Joe had joined a gang for a short time, as in his father’s neighborhood, that’s what you had to do to survive.  He was moved back to his grandmother quickly after his father learned of his gang affiliation.  Joe was relieved about this.  He was more comfortable in Austin and was happy when his father decided to move back to Texas as well.

 

 

 

Gender identities and gender relations are critical aspects of culture because they shape the way daily life is lived in the family, as well as in the wider community and the workplace. Gender has functioned as an organizing principle in many societies because of the cultural significance given to being male or female. While the specific nature of gender relations varies among societies, the general pattern is that women have less personal autonomy, fewer resources at their disposal, and limited influence over the decision-making processes that shape their societies and their own lives. This pattern of disparity based on gender is both a human rights and a development issue.

Cultural change occurs as communities and households respond to social and economic shifts associated with globalization, advanced technologies, environmental pressures, armed conflict, development projects, and/or limited resources. Change also results from deliberate efforts to influence values through changes in the laws or policies, often due to pressure from civil society. There are many examples where policies were put into place to improve racial equality, workplace safety, and environmental protections. Efforts to reshape values about women and gender relations have focused on concerns such as the number of girls sent to school, women’s access to paid work, and social attitudes towards domestic violence.

Use your textbook and the following resources as your primary resources to construct an essay to answer the questions below. Be sure to convince your grader that you have used these resources – especially before you seek additional resources.
http://www.earth.columbia.edu/videos/watch/468 (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

Earth Institute Logo

by Kevin Krajick | May 13, 2013 (Links to an external site.)Links to an external site.

Climate and Conquest: (Links to an external site.)Links to an external site.

How Did Genghis Khan Rise? Researchers are exploring the idea that shifting climate may have played a role in the sudden rise of the great Mongol empire, some 800 years ago. (Links to an external site.)Links to an external site.

http://www.bbc.co.uk/news/resources/idt-sh/mongolian_women (Links to an external site.)Links to an external site.

Modern Women in the Land of Genghis Khan

Mongolia is still closely associated with the conquests of Genghis Khan, founder of the Mongol empire. But 800 years on, a new generation of women are catalysts for change in a country rapidly modernizing while holding on to its nomadic traditions.

https://mediaplayer.pearsoncmg.com/assets/OqgaZ3r8TEELcMhS3Xn_RGYuftEhoqO8 (Links to an external site.)Links to an external site.

BBC Worldwide Icon

Ancient Lives: The Mongols

Mongolia, once the largest land empire ever known, shelters an existence of extremes. This barren steppe, averaging over 1,500 meters, in elevation has brought a stoic and practical nation has brought a stoic and practical nation of nomadic herders, the Mongols.

Essay Assignment:
GOAL: This essay will test your ability to incorporate multiple perspectives into understanding different cultures as well as your ability to identify key issues that should be addressed in decision making when addressing global/ cultural issues or situations.

After reviewing some, or all, of the resources above, write a minimum 300-word essay in which you describe the gender roles of Mongolian men and women, both historically and currently. Are there any comparative roles in recent (last 100 years) American culture (or your own native culture) which are similar to those in Mongolian culture? How would you describe gender equity in Mongolia? Why is gender equality important? How does Mongolia’s gender equity compare to the equity between gender roles in the United States? How will the empowerment of women (or lack thereof) impact the overall economic development of Mongolia? Are there any global connections that could be impacted by this empowerment or a lack of it?

Use the following guidelines:
Upload your essay on Canvas to receive your TurnItIn Similarity Score. Make sure your Similarity Score is approximately 12%.
USE IN-TEXT CITATIONS!!
Review the CTA Grading Rubric using the link found on the Home Page in Canvas.
Review the comments left on previous graded CTAs.
NOTE: GRADING WILL BE MUCH HARSHER FOR STANDARD ITEMS LISTED ON THE CTA GRADING RUBRIC. By this point in the semester, your writing should have improved significantly. If we are still asking you to correct the same items as in previous submissions, you will lose more points!
LIST ALL CITATIONS IN THEIR PROPER FORMAT.
Remember, critical thinking is not a regurgitation of facts, but the assimilation of information and a presentation of the facts.

Discussion Board Forum 4 (Module 6)
The Anatomy of Forgiveness and Reconciliation

Watch the video assigned to this forum (link below). Then post a thread that synthesizes your response to the following questions:

What 3 ideas from your most recent course readings best explain the anatomy of forgiveness and reconciliation in this moment? Explain your selection of ideas. Be specific in making the connections to the video content.
What biblical principle best helps us to understand what we’re seeing?
How did this moment impact you?
Proper APA style is required when using in-text citations and documenting your resource(s).

VIDEO LINK to a conversation between Magic Johnson and Isiah Thomas

400 words post
200 word reply

Create a case study on yourself or someone you have previously worked with in regard to a coaching situation. You can assume either the role of leader/coach or the individual being coached.

Research peer-reviewed journal articles from the Northcentral University library and utilize course readings to create an academic basis to support, analyze, and evaluate your coaching experience.

Then, using the outline provided in this week’s introduction, prepare a comprehensive paper that responds to each item in the outline.

Support your case study with at least seven scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including older articles, may be included.

Please read carefully the recommended readings as well as the Required Key Text-book by Northouse, (2016) and critically assess the “Path-Goal Theory” in terms of usage and effectiveness.

Use the video of “Steve Jobs Leadership Examples” that is located in this week’s material, titled as “Guidance for week 2 – Topic Overview” as an example for path goal setting as well as identify and explain why the approach of “Steve” was not effective while guiding his followers.

Support your paper with minimum of five (5) resources. In addition to these specified resources, other appropriate scholarly resources, including older articles of your choice, may be included.

Length: 6 pages not including title and reference pages. Approximately 1500 – 2100 words. Your pages must be Double spaced with a Font style Times New Roman and 12 Font Size.

The paper should reflect scholarly writing and APA Referencing standard. Be sure to adhere to Academic Integrity Policy by avoiding plagiarism through text-citing and acknowledging other author’s work.

Write to the uninformed. Write your response to someone who has no idea what higher education is all about. You need to explain thoroughly, make connections to evidence, and use examples from the case to bolster your points. If you do that, you will most likely offer the clear and thorough arguments the faculty want to see.

Analyze the case and provide a potential approach to addressing the issues, informed by
theory and evidence-based concepts.

Criteria
The faculty are less interested in you being “right” in your analysis than in seeing evidence that
you can integrate the information you have learned across the curriculum, think through it
critically, and apply it effectively.
What the faculty want to see as part of your analysis:
 Discussion of major issues in the case
 Application of theory
 Using evidence-based concepts to inform the analysis
 Thinking critically about the case, its component parts, and the best approach to
addressing the issues
 Connecting a wide variety of course materials and content to inform the analysis
 Writing that demonstrates professional level work, including adherence to APA
guidelines
Here are some things for you to consider:
 Evidence-based concepts could include the following:
o Peer-reviewed journal articles
o Institutionally-based practices that are supported by data
o Research reports from established and recognized organizations
o Theoretically-informed literature or reports from international or national research
centers
 Application of theory should do the following:
o Identify the reason the theory was selected
o Discuss concepts/components of the theory in a detailed and thorough manner
o Align each concept/component of the theory with the issues in the case and
explain why the theory informs or leads to the best approach
o If concepts/components of the theory are not used or you do not think they are
applicable, discuss the reasons why
 Critical thinking is demonstrated by:
o Analysis of what works and what does not work in the case
o Discussion of the case from different perspectives (e.g., primary character in the
case as well as others involved or impacted constituents, etc.) and levels (e.g.,
individual, work group, etc.)
o Defending the approach as the most appropriate path in context of what we know
from the professional literature
o Examination of how the case is important to the mission of higher education (e.g.,
student development, student success, student learning, etc.)

Two pages or less

3 Sections:

I. Summary of symptoms using examples from the case study

II. Differential Diagnoses – again justifying them from the case study

III. Pharmacologic treatment plan (or lack of if you do not feel the symptoms merit one)

Sam is a 43 year old caucasian female, who presents in the office today with anxiety.  She reports that she has been married for 20 years and that she has always worried but it has increased since she found out that her husband wants a divorce.  He has been seeing his office assistant on the side for the sat 6 month.  She found out about the affair 4 weeks ago and when she confronted her husband about a flower purchase on the credit card.  He came clean at that time and reports that he has been unhappy for the last 5 years, ever since their son was diagnosed with Autism Spectrum Disorder.  The son is now 8.  The patient reports that he has progressed well and is high functioning.   She had to fight with her husband to continue speech, ABA, and psychotherapy with her son after insurance denied further coverage, saying that he has reached his lifetime maximum.

 

The patient has never been treated for anxiety and reports that all her life she has struggled with sleep due to her worries, her mind races at night, she cannot turn her thoughts off, often she feels a sense of doom, wondering when the next bad thing will happen.  She averages 4-6 hours of broken sleep per night.  She never feels rested and is tired and irritable most days.

 

She saw her PCP 2 weeks ago, had a thyroid panel, B12, folate, CBC, and Vitamin D level done.  Her labs were all within normal limits.

 

She works as a nurse manager and often finds herself struggling to complete tasks and feels that she is ineffective in all aspect of her life.  She sought services with her PCP because in the last 4 weeks, her sleep has decreased, and she feels panicked often.  She reports nausea, racing heart, sweating, when thinking about the changes that a divorce will cause for herself and her family.  Right now the family gets insurance from her husband and that will end.  They have 3 other children, 9, 11, and 16.  The 16 yo just got a driver’s license and wanted a car.  The savings for the car will have to now be used on legal fees, her husband wasn’t to leave her with the house and car payments – but doesn’t want to pay child support, if he lets her keep the house equity.

 

The patient has a history of an prolonged QT interval, and arrythmias.  She has a strong family history of substance abuse and addictions.  Her father was an alcoholic and her mother was hospitalized for a suicide attempt.

 

Upon assessment, you notice that the patient has not washed her hair in several days, her scrubs are wrinkled.  She struggles to answer questions quickly, she is always scanning the room, and she has commented several times that your room does not have any windows.  Her hands were cold and sweaty, and you notice that she wrings them as she speaks.

 

She keeps looking at her watch and reports several times that she feels nauseated.

 

Coach Jerry Sandusky
A recent high-profile case involving a sex offender is Jerry Sandusky, a former Penn State coach. If you are not familiar with this case, please familiarize yourself with the facts of this case. Discuss whether his sex offenses could have been predicted. Is there a particular “sex offender profile” or characteristics that are common to all child molesters? While serving his prison sentence, should Mr. Sandusky receive treatment? If so, what type of treatment would be effective? Finally, what factors would be likely to predict whether Mr. Sandusky would reoffend if he were to ever be released? Feel free to include a discussion of civil commitment in your analysis.