Write a paper (minimum of one full page, typed, double-spaced, size 12 font, 1 inch margins) on the following case study.

Mr. Jones, a newly diagnosed diabetic, has been a loyal patient of the ABC Physician Practice for many years. His blood sugar levels are very unstable so he is in the office today. His wife speaks with you privately to tell you he is not following his diet and refuses to exercise daily. She is concerned, but doesn’t want you to tell Dr. Foster because she knows her husband will be very angry with her. In a 1-page paper, describe how you would manage this situation.

Identify the key components of the situation presented in the case study, using logic and rationale to answer the question(s) presented.

Discuss the various forms of communication that you would have with the patient, his wife, the physician, and any other staff.

Be detailed in explaining how you would resolve this issue.

Are there any other considerations to think about with this scenario?

Refer to the rubric – Case Study Paper for grading details.

Mrs. Williams is a 68 year-old wife and mother who has diabetes, hypertension and is suffering from advanced Alzheimer’s disease. Her 70 year-old husband, a retired pastry chef, is her main caregiver. She has gradually lost weight, often refuses to eat and requires a great deal of assistance to move from bed to chair. Mr. Williams does have the assistance of his daughter, but she has a family with school age children who require her time as well. The physician has suggested that a feeding tube would be a consideration at this time. Mr. Williams is anxious and uncertain as to what to do.

1. If she didn't have Alzheimer's, could Mrs. Williams be experiencing a form of dementia or delirium? Please describe the difference between the two.

2. What additional data would you focus on obtaining when you are assigned this patient?

3. What legal and ethical issues do you need to consider in this situation and how would you be an advocate for the couple?

4. You're realizing a multi-discipline conference is necessary. Which disciplines would you invite to attend?

1. The idea behind ________ is that how you think determines how you feel and act.

a. behavior therapy

b. psychoanalytic therapy

c. cognitive therapy

d. humanistic therapy

2. When an individual has two or more diagnoses, which often includes a substance-related diagnosis and another psychiatric diagnosis, this is known as ________.

a. bipolar disorder

b. comorbidity

c. codependency

d. bi-morbid disorder

3. John was drug-free for almost six months. Then he started hanging out with his addict friends, and he has now started abusing drugs again. This is an example of ________.

a. relapse

b. reversion

c. re-addiction

d. release

4. _______ is a form of therapy in which two people in an intimate relationship, such as husband and wife, try to resolve difficulties in their relationship.

a. couples therapy

b. family therapy

c. play therapy

d. group therapy

5. Freud suggested that during this patient-therapist relationship, the patient comes to develop strong feelings for the therapist—maybe positive feelings, maybe negative feelings. Freud called this

a. counterconditioning

b. free association

c. resistance

d. transference

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you.

1. Which assessment data will you perform on his arrival to the ED? Why?

2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest pain, and oxygen at 2 L per nasal cannula. What part of the patient's care will you delegate to the UAP? Which information will you communicate on delegation?

3. Which interventions will you implement to ensure this patient's safety?

4. Which priority information will you document in the patient's electronic health record?

5. The patient's wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at this time? With which health care team members will you collaborate to ensure positive patient outcomes?

In June of this year, Dr. and Mrs. Savage traveled to attend a three-day professional conference. Dr. Savage, a self-employed practicing surgeon, participated in scheduled technical sessions dealing with the latest developments in surgical procedures. On two days, Mrs. Savage attended group meetings where various aspects of family tax planning were discussed. On the other day, she went sightseeing. Mrs. Savage does not work for her husband, but she prepares their tax returns and handles the family investments. Expenses incurred in connection with the conference are summarized below:

The time married men with children spend on child care averages 6.0 hours per week (Time, March 12, 2012). You belong to a professional group on family practices that would like to do its own study to determine if the time married men in your area spend on child care per week differs from the reported mean of 6.0 hours per week. A sample of 40 married couples will be used with the data collected showing the hours per week the husband spends on child care. The sample data is contained in the Excel Online file below. Construct a spreadsheet to answer the following questions.

Calculate the value of the test statistic (to 2 decimals).

What is the -value (to 4 decimals)? Do not round intermediate calculations.

Scenario - Clara comes to an attorney’s office in need of assistance with her husband’s estate. Her husband, Phil, a factory worker, had been a saver all his life and owned approximately $1,500,000 in stocks and bonds. Clara is relatively unsophisticated in financial matters, so the attorney agrees to handle the estate for 17 percent of the value of the estate. The normal charge for such work is 3 to 5 percent of the estate. The widow agrees to the 17 percent arrangement. The attorney then hires CPA Charles for $10,000 to compute Phil’s estate tax on Form 706 and to prepare other appropriate documents.

Under Circular 230, does Charles have any responsibility to inform the widow that she is being significantly overcharged by the attorney? Be sure to cite research that supports your position.

What potential ethics issues do you see in this situation?

Which AICPA Code(s) of Professional Conduct rules apply in this situation (explain how and why they apply)?

Cite the specific verse(s) for at least one Biblical principle that you feel is relevant to the situation (explain how and why it applies).

Please include reference material so I can review and learn more

Determine which main social theories (Functional, Conflict, or Interaction) each statement is and please explain why

1. For many women (not all), an engagement ring is a symbol of commitment, and if she does not receive this ring, then she does not move forward with plans for marriage.

2. Marriage gives people a better chance at survival, because in this country, married couples get perks like tax cuts and insurance breaks, which give them more money for food and shelter.

3. Until recently, the only persons who could legally marry in most states were heterosexual couples.

4. Married people are less likely to endanger themselves or the public by committing criminal activity.

5. Some individuals get married because one is in love, others for the money, and still others due to pressure from family; These reasons can affect the quality of the marriage.

6. Within (heterosexual) marriages from all different social classes, if there are children, the female is more often expected to do more of the childcare activities even if both she and her husband have employment which takes up an equal amount of time