Tag: Model Answer

  • [Solved] WH D1

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  • [Solved] Nursing homework assist

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  • [Solved] Number 9

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    _Students with Physical or Health Disparities_ – Discuss the characteristics of orthopedic impairments, other health impairments, and traumatic brain injury. How might these students be taught in the classroom and what strategies/methods seem to work best? Please include other considerations such as…

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    _Students with Physical or Health Disparities_
    – Discuss the characteristics of orthopedic impairments, other health impairments, and traumatic brain injury.  How might these students be taught in the classroom and what strategies/methods seem to work best? Please include other considerations such as the environment and use of technology. Be sure to discuss the benefits and limitations to the approaches mentioned.

  • [Solved] 9

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    This week's discussion topic: **Imagine you had an app that monitors your surroundings and tells you when you are about to crash into something. In your opinion, should the use of that app while driving be legal or illegal? Explain your reasoning.** Remember, there is a minimum 300-word requirement …

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    This week's discussion topic:
    **Imagine you had an app that monitors your surroundings and tells you when you are about to crash into something. In your opinion, should the use of that app while driving be legal or illegal? Explain your reasoning.**
    Remember, there is a minimum 300-word requirement for each initial posting.
    Please support your position with evidence from your textbook and/or other sources. Remember, you must cite every sentence in which you use materials from a referenced source. A corresponding reference list must be included.

  • [Solved] Intergrating developmental disabilities Posting 10

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    _Students with Autism Spectrum Disorders_ – Discuss the characteristics of students who have autism spectrum disorders. How might understanding the characteristics and/or causes of a student’s disability help a teacher integrate them into the classroom? What are some of the models used for teaching …

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    _Students with Autism Spectrum Disorders_
    – Discuss the characteristics of students who have autism spectrum disorders.  How might understanding the characteristics and/or causes of a student’s disability help a teacher integrate them into the classroom?   What are some of the models used for teaching these students and integrating them into the class? Please include other considerations such as the environment and use of technology. Be sure to discuss the benefits and limitations to the approaches mentioned.

  • [Solved] Describing your data

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    please see attachment, – ## DescribingyourData.docx – classs_survey-1.sav **## DescribingyourData.docx** Before starting this assignment you should know a few things. First, I consolidated each of your datasets into a single data set with all of the cases/respondents in one dataset called the class…

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    Assignment Prompt & Instructions

    please see attachment,

    – ## DescribingyourData.docx

    – classs_survey-1.sav

    **## DescribingyourData.docx**

    Before starting this assignment you should know a few things. First, I consolidated each of your datasets into a single data set with all of the cases/respondents in one dataset called the class_survey. I also created several new variables in the dataset: 1. A grouped age variable where each category represents an age range; and, 2. A total score for the BSSS; and, 3. a total score for the ICU. The "BSSTotal" and "ICUTotal" are summed scores of those items on each of the respective scales (in the dataset these are named BSSS1 – BSSS8 and ICU1 – ICU10R, respectively). You will also notice there are several "ICU#R" variables. These are reverse coded ICU items so that when the items are used to compute a total ICU score, they are all in the same direction (i.e., higher callous unemotional traits).

    Also, you should know that the BSSS is the Brief Sensation Seeking Scale and the ICU is the Inventory of Callous and Unemotional Traits. You should have some familiarity with scale use from research methods but the basic idea is that each of the items that are included on a scale tap into the same underlying construct. In this case the items tap into Sensation-Seeking and Callous-Unemotional traits, respectively. Sensation-Seeking is defined as being daring, willing to take risks, and being fearless. Callous-Unemotional traits are defined as being callous, uncaring, lacking remorse and guilt and having a lack of emotional expression. The idea is that the more items that individuals endorse at a higher value, the more of these traits an individual has. Thus, these are scales or inventories because the individual items are summed to create a scale that represents the construct (sensation-seeking and callous-unemotional traits). People that score higher have more of the trait that those that score relatively lower. We typically do not use the individual items in this but only the summed scores which we treat as continuous measures (i.e., scale in SPSS). It is important that you understand what these are measuring so that you can discuss your findings in a meaningful way.

    Using the class_survey dataset complete the following:

    1. In SPSS conduct the appropriate measures of central tendency and dispersion for ALL variables in the classsurvey dataset (except for the individual items of the BSSS and ICU – only compute measures of central tendency for total scores – “ICU” and “BSSS”). Remember to take into consideration the level of measurement when determining which measure of central tendency and dispersion to report.

    2. Create a single table in Microsoft Word that reports the descriptive statistics for all of the variables (except the individuals items for the ICU and BSSS – only report on the total scores). Be sure to use names for variables in the table so that a reader would know what you are referring to – sometimes the labels in SPSS are not intuitive. Also, give the table a proper title and label it “Table 1”. If you use any abbreviations make sure to describe what these are in a “note” below the table. See the example provided below.

    Note. DO NOT copy and paste the tables from SPSS. You should create a table in word (e.g., insert -> table) that combines all the information from the SPSS output into a single table.

    Your table should have columns labeled: Mean/%, SD, minimum, and maximum.

    Not all variables will have a value for each column. ONLY REPORT VALUE WHEN APPROPRIATE – e.g, it is not appropriate to report a mean for a nominal variable, in this case you should report the % of each category of the variable.

    DO NOT include the individual items that make up the BSSS and ICU – only report on the total scores I created.

    3. Write a single paragraph describing the sample regarding the average scores and variation for each variable. Make sure to reference the table that you created in #2 in the text. This should resemble a sample description that you would typically see in a manuscript.

    4. In SPSS, create frequency tables in SPSS for the variables “race”, “age_group”, “education” and "BSSSTotal" using the classsurvey dataset. Then create the appropriate graph (e.g., bar chart, pie chart, histogram) for each of these variables.

    5. Write a paragraph describing the shape of the distribution of the four variables from #4 based on the frequency table and graphs (you do not have to create tables/graphs to include in your assignment – only include your "write-up".

    Note. Turn in your write-up from #3 and #5 with the table you created from #2 in a word document. Do not turn in your spss output.

    Write-up examples:

    ![](https://www.sweetstudy.com/questions/describing-your-data)

    “As shown in Table 1, a majority of survey respondents identified as Black (67.0%), male(52.2%), and the mean age was 43 years old (SD = 14.29). On average, respondents reported a score of 2.65 (SD = .48) on a measure of social integration and a 1.10 (SD = .99) on the gang proximity scale. At the neighborhood level, the mean for the measure of residential stability was -.01 (SD = .57). Neighborhoods in the sample were on average 67.1% Black. The mean scores for racial heterogeneity and concentrated disadvantage were .27 (SD = .18) and .01 (SD = .74), respectively." The mean number of gangs per neighborhood was .84 (SD = 1.18)."

    ## image1.png

    **classs_survey-1.sav**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/classs-survey-1-sav)

    **classs_survey-1.sav**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/classs-survey-1-sav)

    **## DescribingyourData.docx**

    Before starting this assignment you should know a few things. First, I consolidated each of your datasets into a single data set with all of the cases/respondents in one dataset called the class_survey. I also created several new variables in the dataset: 1. A grouped age variable where each category represents an age range; and, 2. A total score for the BSSS; and, 3. a total score for the ICU. The "BSSTotal" and "ICUTotal" are summed scores of those items on each of the respective scales (in the dataset these are named BSSS1 – BSSS8 and ICU1 – ICU10R, respectively). You will also notice there are several "ICU#R" variables. These are reverse coded ICU items so that when the items are used to compute a total ICU score, they are all in the same direction (i.e., higher callous unemotional traits).

    Also, you should know that the BSSS is the Brief Sensation Seeking Scale and the ICU is the Inventory of Callous and Unemotional Traits. You should have some familiarity with scale use from research methods but the basic idea is that each of the items that are included on a scale tap into the same underlying construct. In this case the items tap into Sensation-Seeking and Callous-Unemotional traits, respectively. Sensation-Seeking is defined as being daring, willing to take risks, and being fearless. Callous-Unemotional traits are defined as being callous, uncaring, lacking remorse and guilt and having a lack of emotional expression. The idea is that the more items that individuals endorse at a higher value, the more of these traits an individual has. Thus, these are scales or inventories because the individual items are summed to create a scale that represents the construct (sensation-seeking and callous-unemotional traits). People that score higher have more of the trait that those that score relatively lower. We typically do not use the individual items in this but only the summed scores which we treat as continuous measures (i.e., scale in SPSS). It is important that you understand what these are measuring so that you can discuss your findings in a meaningful way.

    Using the class_survey dataset complete the following:

    1. In SPSS conduct the appropriate measures of central tendency and dispersion for ALL variables in the classsurvey dataset (except for the individual items of the BSSS and ICU – only compute measures of central tendency for total scores – “ICU” and “BSSS”). Remember to take into consideration the level of measurement when determining which measure of central tendency and dispersion to report.

    2. Create a single table in Microsoft Word that reports the descriptive statistics for all of the variables (except the individuals items for the ICU and BSSS – only report on the total scores). Be sure to use names for variables in the table so that a reader would know what you are referring to – sometimes the labels in SPSS are not intuitive. Also, give the table a proper title and label it “Table 1”. If you use any abbreviations make sure to describe what these are in a “note” below the table. See the example provided below.

    Note. DO NOT copy and paste the tables from SPSS. You should create a table in word (e.g., insert -> table) that combines all the information from the SPSS output into a single table.

    Your table should have columns labeled: Mean/%, SD, minimum, and maximum.

    Not all variables will have a value for each column. ONLY REPORT VALUE WHEN APPROPRIATE – e.g, it is not appropriate to report a mean for a nominal variable, in this case you should report the % of each category of the variable.

    DO NOT include the individual items that make up the BSSS and ICU – only report on the total scores I created.

    3. Write a single paragraph describing the sample regarding the average scores and variation for each variable. Make sure to reference the table that you created in #2 in the text. This should resemble a sample description that you would typically see in a manuscript.

    4. In SPSS, create frequency tables in SPSS for the variables “race”, “age_group”, “education” and "BSSSTotal" using the classsurvey dataset. Then create the appropriate graph (e.g., bar chart, pie chart, histogram) for each of these variables.

    5. Write a paragraph describing the shape of the distribution of the four variables from #4 based on the frequency table and graphs (you do not have to create tables/graphs to include in your assignment – only include your "write-up".

    Note. Turn in your write-up from #3 and #5 with the table you created from #2 in a word document. Do not turn in your spss output.

    Write-up examples:

    ![](https://www.sweetstudy.com/questions/describing-your-data)

    “As shown in Table 1, a majority of survey respondents identified as Black (67.0%), male(52.2%), and the mean age was 43 years old (SD = 14.29). On average, respondents reported a score of 2.65 (SD = .48) on a measure of social integration and a 1.10 (SD = .99) on the gang proximity scale. At the neighborhood level, the mean for the measure of residential stability was -.01 (SD = .57). Neighborhoods in the sample were on average 67.1% Black. The mean scores for racial heterogeneity and concentrated disadvantage were .27 (SD = .18) and .01 (SD = .74), respectively." The mean number of gangs per neighborhood was .84 (SD = 1.18)."

    ## image1.png

    **classs_survey-1.sav**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/classs-survey-1-sav)

    **## DescribingyourData.docx**

    Before starting this assignment you should know a few things. First, I consolidated each of your datasets into a single data set with all of the cases/respondents in one dataset called the class_survey. I also created several new variables in the dataset: 1. A grouped age variable where each category represents an age range; and, 2. A total score for the BSSS; and, 3. a total score for the ICU. The "BSSTotal" and "ICUTotal" are summed scores of those items on each of the respective scales (in the dataset these are named BSSS1 – BSSS8 and ICU1 – ICU10R, respectively). You will also notice there are several "ICU#R" variables. These are reverse coded ICU items so that when the items are used to compute a total ICU score, they are all in the same direction (i.e., higher callous unemotional traits).

    Also, you should know that the BSSS is the Brief Sensation Seeking Scale and the ICU is the Inventory of Callous and Unemotional Traits. You should have some familiarity with scale use from research methods but the basic idea is that each of the items that are included on a scale tap into the same underlying construct. In this case the items tap into Sensation-Seeking and Callous-Unemotional traits, respectively. Sensation-Seeking is defined as being daring, willing to take risks, and being fearless. Callous-Unemotional traits are defined as being callous, uncaring, lacking remorse and guilt and having a lack of emotional expression. The idea is that the more items that individuals endorse at a higher value, the more of these traits an individual has. Thus, these are scales or inventories because the individual items are summed to create a scale that represents the construct (sensation-seeking and callous-unemotional traits). People that score higher have more of the trait that those that score relatively lower. We typically do not use the individual items in this but only the summed scores which we treat as continuous measures (i.e., scale in SPSS). It is important that you understand what these are measuring so that you can discuss your findings in a meaningful way.

    Using the class_survey dataset complete the following:

    1. In SPSS conduct the appropriate measures of central tendency and dispersion for ALL variables in the classsurvey dataset (except for the individual items of the BSSS and ICU – only compute measures of central tendency for total scores – “ICU” and “BSSS”). Remember to take into consideration the level of measurement when determining which measure of central tendency and dispersion to report.

    2. Create a single table in Microsoft Word that reports the descriptive statistics for all of the variables (except the individuals items for the ICU and BSSS – only report on the total scores). Be sure to use names for variables in the table so that a reader would know what you are referring to – sometimes the labels in SPSS are not intuitive. Also, give the table a proper title and label it “Table 1”. If you use any abbreviations make sure to describe what these are in a “note” below the table. See the example provided below.

    Note. DO NOT copy and paste the tables from SPSS. You should create a table in word (e.g., insert -> table) that combines all the information from the SPSS output into a single table.

    Your table should have columns labeled: Mean/%, SD, minimum, and maximum.

    Not all variables will have a value for each column. ONLY REPORT VALUE WHEN APPROPRIATE – e.g, it is not appropriate to report a mean for a nominal variable, in this case you should report the % of each category of the variable.

    DO NOT include the individual items that make up the BSSS and ICU – only report on the total scores I created.

    3. Write a single paragraph describing the sample regarding the average scores and variation for each variable. Make sure to reference the table that you created in #2 in the text. This should resemble a sample description that you would typically see in a manuscript.

    4. In SPSS, create frequency tables in SPSS for the variables “race”, “age_group”, “education” and "BSSSTotal" using the classsurvey dataset. Then create the appropriate graph (e.g., bar chart, pie chart, histogram) for each of these variables.

    5. Write a paragraph describing the shape of the distribution of the four variables from #4 based on the frequency table and graphs (you do not have to create tables/graphs to include in your assignment – only include your "write-up".

    Note. Turn in your write-up from #3 and #5 with the table you created from #2 in a word document. Do not turn in your spss output.

    Write-up examples:

    ![](https://www.sweetstudy.com/questions/describing-your-data)

    “As shown in Table 1, a majority of survey respondents identified as Black (67.0%), male(52.2%), and the mean age was 43 years old (SD = 14.29). On average, respondents reported a score of 2.65 (SD = .48) on a measure of social integration and a 1.10 (SD = .99) on the gang proximity scale. At the neighborhood level, the mean for the measure of residential stability was -.01 (SD = .57). Neighborhoods in the sample were on average 67.1% Black. The mean scores for racial heterogeneity and concentrated disadvantage were .27 (SD = .18) and .01 (SD = .74), respectively." The mean number of gangs per neighborhood was .84 (SD = 1.18)."

    ## image1.png

    **classs_survey-1.sav**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/classs-survey-1-sav)

    – 1
    – 2

  • [Solved] performance,

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  • [Solved] 4

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    please see attachment, – ## reading4.docx **## reading4.docx** You must submit a 3-4 page summary of the assigned readings from this week. This is not the appropriate place to discuss whether or not you enjoyed the material but is instead a means to assess whether or not you understood the material …

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    Assignment Prompt & Instructions

    please see attachment,

    – ## reading4.docx

    **## reading4.docx**

    You must submit a 3-4 page summary of the assigned readings from this week. This is not the appropriate place to discuss whether or not you enjoyed the material but is instead a means to assess whether or not you understood the material well enough to briefly summarize it. In other words, do not make your own argument in the summary papers (you will do that on your exam answers), instead summarize the study or key arguments the author(s) is making.

    Readings:

    Bolger, P. C. (2015). Just following orders: A meta-analysis of the correlates of American police officer use of force decisions. American Journal of Criminal Justice, 40, 466-492.

    Terrill, W., & Paoline III, E. A. (2007). Nonarrest decision making in police–citizen encounters. Police Quarterly, 10(3), 308-33.

    Alpert, G. P., MacDonald, J. M., & Dunham, R. G. (2005). Police suspicion and discretionary decision-making during citizen stops. Criminology, 43(2), 407-434.

    Moskos, P. (2008). Cop in the hood: My year policing Baltimore's eastern district. Princeton University Press.

    **## reading4.docx**

    You must submit a 3-4 page summary of the assigned readings from this week. This is not the appropriate place to discuss whether or not you enjoyed the material but is instead a means to assess whether or not you understood the material well enough to briefly summarize it. In other words, do not make your own argument in the summary papers (you will do that on your exam answers), instead summarize the study or key arguments the author(s) is making.

    Readings:

    Bolger, P. C. (2015). Just following orders: A meta-analysis of the correlates of American police officer use of force decisions. American Journal of Criminal Justice, 40, 466-492.

    Terrill, W., & Paoline III, E. A. (2007). Nonarrest decision making in police–citizen encounters. Police Quarterly, 10(3), 308-33.

    Alpert, G. P., MacDonald, J. M., & Dunham, R. G. (2005). Police suspicion and discretionary decision-making during citizen stops. Criminology, 43(2), 407-434.

    Moskos, P. (2008). Cop in the hood: My year policing Baltimore's eastern district. Princeton University Press.

  • [Solved] Discussion

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    – ## DiscussionQuestions.docx – Resourcemanualfornursingresearch_generatingand–PolitDeniseF_authorBeckCherylTatanoauthor–2021–Phi.PDF **## DiscussionQuestions.docx** Discussion: Questions **Questions Discussion Board: Instructions** **Purpose:** The purpose of this assignment is to familiarize …

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    – ## DiscussionQuestions.docx

    – Resourcemanualfornursingresearch_generatingand–PolitDeniseF_authorBeckCherylTatanoauthor–2021–Phi.PDF

    **## DiscussionQuestions.docx**

    Discussion: Questions

    **Questions Discussion Board: Instructions**

    **Purpose:** The purpose of this assignment is to familiarize you the complexity of quantitative statistical analysis.

    **Instructions:** For this discussion, please complete the following:

    1. Review the assigned chapters in Polit and Beck (2017): i.e., chapters 18-20.

    2. Identify five different facts or pieces of information that pertain to the topic.

    3. Construct 3 multiple choice questions based on the information in the text and post these questions to the discussion board no later than
    **Wednesday by 11:59 pm.**

    **Resourcemanualfornursingresearch_generatingand–PolitDeniseF_authorBeckCherylTatanoauthor–2021–Phi.PDF**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/resourcemanualfornursingresearch-generatingand-politdenisef-authorbeckcheryltatanoauthor-2021-phi-pdf)

    **Resourcemanualfornursingresearch_generatingand–PolitDeniseF_authorBeckCherylTatanoauthor–2021–Phi.PDF**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/resourcemanualfornursingresearch-generatingand-politdenisef-authorbeckcheryltatanoauthor-2021-phi-pdf)

    **## DiscussionQuestions.docx**

    Discussion: Questions

    **Questions Discussion Board: Instructions**

    **Purpose:** The purpose of this assignment is to familiarize you the complexity of quantitative statistical analysis.

    **Instructions:** For this discussion, please complete the following:

    1. Review the assigned chapters in Polit and Beck (2017): i.e., chapters 18-20.

    2. Identify five different facts or pieces of information that pertain to the topic.

    3. Construct 3 multiple choice questions based on the information in the text and post these questions to the discussion board no later than
    **Wednesday by 11:59 pm.**

    **Resourcemanualfornursingresearch_generatingand–PolitDeniseF_authorBeckCherylTatanoauthor–2021–Phi.PDF**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/resourcemanualfornursingresearch-generatingand-politdenisef-authorbeckcheryltatanoauthor-2021-phi-pdf)

    **## DiscussionQuestions.docx**

    Discussion: Questions

    **Questions Discussion Board: Instructions**

    **Purpose:** The purpose of this assignment is to familiarize you the complexity of quantitative statistical analysis.

    **Instructions:** For this discussion, please complete the following:

    1. Review the assigned chapters in Polit and Beck (2017): i.e., chapters 18-20.

    2. Identify five different facts or pieces of information that pertain to the topic.

    3. Construct 3 multiple choice questions based on the information in the text and post these questions to the discussion board no later than
    **Wednesday by 11:59 pm.**

    **Resourcemanualfornursingresearch_generatingand–PolitDeniseF_authorBeckCherylTatanoauthor–2021–Phi.PDF**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/resourcemanualfornursingresearch-generatingand-politdenisef-authorbeckcheryltatanoauthor-2021-phi-pdf)

    – 1
    – 2

  • [Solved] unit 5 discussion

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    see attached – ## 673unit5discussion.docx **## 673unit5discussion.docx** **Topic:** Substance Use Disorder Case scenario: Pam is a 53-year-old woman who comes into the clinic reporting problems with sleep for the past 5 months. She tells you that she has been using over-the-counter sleep aids but ha…

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    Assignment Prompt & Instructions

    see attached

    – ## 673unit5discussion.docx

    **## 673unit5discussion.docx**

    **Topic:** Substance Use Disorder

    Case scenario:

    Pam is a 53-year-old woman who comes into the clinic reporting problems with sleep for the past 5 months. She tells you that she has been using over-the-counter sleep aids but has not found them helpful. Even though they help her fall asleep, she wakes up multiple times every night. She also feels groggy for several hours in the morning.

    Pam later explains that in fact she has always had sleep issues. She used to drink a glass of wine in the evening, and that was enough to put her to sleep. In recent years, one glass has not been sufficient, and even when she drinks three or four glasses of wine, that might not be enough. As you inquire further about her alcohol use, you find out that on average, she drinks two glasses of wine on weekday evenings and three to four glasses of wine on weekend evenings. She says that she never gets drunk and she does not think that her drinking is problematic.

    You remember that you attended a training on Screening, Brief Intervention, and Referral to Treatment (SBIRT) and decide to put it to good use. You administer an Alcohol Use Disorder Identification Test (AUDIT-C) screen and give Pam a score of 8. You perform Brief Intervention (BI) and schedule her to return in 2 weeks for a follow-up. Three days later, you receive a call from a nearby hospital. Pam was arrested for drunk driving, and during the encounter with law enforcement officers, she fell and hit her head. During transport, she had an episode of emesis, aspirated, and had to be intubated. The technicians found your card in her wallet.

    Three days into her admission, Pam develops a generalized tonic-clonic seizure. After hospital discharge, the patient returns to your office and admits that she had minimized her alcohol drinking and that, in fact, she drinks more than twice as much as she had initially told you. She did not start drinking alcohol until her late 20s, but in her mid-40s, her two best friends were killed in a car accident. She was the only survivor of the car crash, and she began drinking heavily afterward. Pam tried to quit "cold turkey" on multiple occasions but each time would feel "sick" to the point where "only alcohol would make me feel better." She had made attempts to cut down but found that she would begin drinking more within a few days. She has never been in formal alcohol treatment.

    Pam thinks that her drinking makes her depression worse, because "it just makes me numb, but my life is still a mess when I sober up, so I feel even worse and drink again." Although she wakes up early, she feels anxious and shaky in the morning and then drinks alcohol to calm herself. She then has to wait at least 4 hours before she can start her day, and this affects her work. She has received several citations at work because of her behavior. The patient tells you she wants help quitting alcohol and that she never wants to drink again.

    · How would you classify Pam's drinking habits?

    · How does alcohol affect sleep?

    · What is SBIRT? How is it effective in helping clients?

    · What laboratory testing will you recommend for Pam?

    · What are the signs and symptoms of alcohol intoxication?

    · What is the cause for Mrs. Pam's seizure?

    · What medications are effective in treating alcohol withdrawal disorder?

    **## 673unit5discussion.docx**

    **Topic:** Substance Use Disorder

    Case scenario:

    Pam is a 53-year-old woman who comes into the clinic reporting problems with sleep for the past 5 months. She tells you that she has been using over-the-counter sleep aids but has not found them helpful. Even though they help her fall asleep, she wakes up multiple times every night. She also feels groggy for several hours in the morning.

    Pam later explains that in fact she has always had sleep issues. She used to drink a glass of wine in the evening, and that was enough to put her to sleep. In recent years, one glass has not been sufficient, and even when she drinks three or four glasses of wine, that might not be enough. As you inquire further about her alcohol use, you find out that on average, she drinks two glasses of wine on weekday evenings and three to four glasses of wine on weekend evenings. She says that she never gets drunk and she does not think that her drinking is problematic.

    You remember that you attended a training on Screening, Brief Intervention, and Referral to Treatment (SBIRT) and decide to put it to good use. You administer an Alcohol Use Disorder Identification Test (AUDIT-C) screen and give Pam a score of 8. You perform Brief Intervention (BI) and schedule her to return in 2 weeks for a follow-up. Three days later, you receive a call from a nearby hospital. Pam was arrested for drunk driving, and during the encounter with law enforcement officers, she fell and hit her head. During transport, she had an episode of emesis, aspirated, and had to be intubated. The technicians found your card in her wallet.

    Three days into her admission, Pam develops a generalized tonic-clonic seizure. After hospital discharge, the patient returns to your office and admits that she had minimized her alcohol drinking and that, in fact, she drinks more than twice as much as she had initially told you. She did not start drinking alcohol until her late 20s, but in her mid-40s, her two best friends were killed in a car accident. She was the only survivor of the car crash, and she began drinking heavily afterward. Pam tried to quit "cold turkey" on multiple occasions but each time would feel "sick" to the point where "only alcohol would make me feel better." She had made attempts to cut down but found that she would begin drinking more within a few days. She has never been in formal alcohol treatment.

    Pam thinks that her drinking makes her depression worse, because "it just makes me numb, but my life is still a mess when I sober up, so I feel even worse and drink again." Although she wakes up early, she feels anxious and shaky in the morning and then drinks alcohol to calm herself. She then has to wait at least 4 hours before she can start her day, and this affects her work. She has received several citations at work because of her behavior. The patient tells you she wants help quitting alcohol and that she never wants to drink again.

    · How would you classify Pam's drinking habits?

    · How does alcohol affect sleep?

    · What is SBIRT? How is it effective in helping clients?

    · What laboratory testing will you recommend for Pam?

    · What are the signs and symptoms of alcohol intoxication?

    · What is the cause for Mrs. Pam's seizure?

    · What medications are effective in treating alcohol withdrawal disorder?