There are hundreds of opioid conversion calculators available online, though they are not all of good quality.  I would like to direct you to one of the opioid conversion calculators that I find to be most useful and evidence based.  Locate http://opioidcalculator.practicalpainmanagement.com/ and evaluate the following case using the calculator as necessary. Discuss your approach to the overall case and results of your calculation.

• A 79 year old white male is taking hydrocodone/APAP 10/325 for lower back pain (pt diagnosed with degenerative disc disease several months ago). The physician had written a prescription for Vicodin® 10/325  i-ii Q4-6h prn pain with a quantity of 120.  Her expectation was that this would last the patient for one month.  The patient is now requesting refills about every 10-14 days.  He states he has been taking 2 tabs Q4h (12 tablets per day) because “the pain is so bad I just can’t stand it!”.
  • What is the problem with the way the patient is taking this medication versus the way it was prescribed
  • Based on your assessment, it is determined this patient should be converted to extended release morphine for better, more consistent pain control. Perform this conversion and provide an appropriate recommendation (drug, dose, frequency).

neurological disease

Migraine is a major neurological disease that affects more than 36 million men, women and children in the United States. There is no cure for migraine. Most current treatments aim to reduce headache frequency and stop individual headaches when they occur. Let’s look at a case example:

• CM is 20 years old female with severe, prolonged 2 to 3 day migraines twice per month. She has difficulty sleeping and is mildly anxious. She occasionally utilizes an inhaler for asthma.
  • Provide an evaluation of CM’s condition including non-pharmacological interventions and treatment options
  • Is Cm a candidate for prophylactic therapy, and if so, what option would be best suited to her?

Post your initial response and respond to one student. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required 

Select a specific healthcare facility (Hospital, Clinic, Urgent Care) in KSA and consider the organization’s process of care delivery.

• Discuss whether or not the organization is performing well from a patient-centered perspective.
• What specific indicators would you suggest the facility tracks to measure its performance. And what dimensions are most important in determining outcomes.

Embed course material concepts, principles. And theories (which require supporting citations) in your initial response along with at least one scholarly, peer-reviewed journal article. Keep in mind that these scholarly references can be found in the Saudi Digital Library by conducting an advanced search specific to scholarly references. Use Saudi Electronic University academic writing standards and APA style guidelines.

Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders

Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.

For individuals with disorders such as schizophrenia and other psychotic disorders, the development of mental disorder seldom occurs with a singular, defining symptom. Rather, many who experience such disorders show a range of unique symptoms. This range of symptoms may impede an individual’s ability to function in daily life. As a result, clinicians address a patient’s ability or inability to function in life.

medication-induced movement disorder.

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

· Review the Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.

· Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.

· video case study to use for this Assignment and “Case History Reports” document, keeping the requirements of the evaluation template in mind.

· Consider what history would be necessary to collect from this patient? interview questions you would need to ask this patient.

· Identify at least three possible differential diagnoses for the patient.

This assignment explores psychotic disorders, including schizophrenia. You also explore medication-induced movement disorders and formulate a diagnosis for a patient in a case study.

Objectives

· Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information

· Formulate differential diagnoses using DSM-5 criteria for patients with schizophrenia, other psychotic disorders, and medication-induced movement disorders across the life span

“Case History Reports”

Training Title 9

Name: Ms. Nijah Branning

Gender: female

Age: 25 years old T- 98.4 P- 80 R 18 128/78 Ht 5’0 Wt 120lbs

Background: Raised by parents, lives alone in Santa Monica, CA. Only child. Works in office supply sales, has a bachelor’s in business degree. Has medical history of hypothyroidism, currently treated with daily levothyroxine. Guarded and declined to discuss past psychiatric history. Denied family mental health issues, declined to allow you to speak to parents for collaborative information. Allergies: medical tape; menses regular Symptom Media. (Producer). (2016). Training title 9 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-9

1.  R Review the facts of the case.
• What are the details?
• What is the background or history?

2.  E Estimate (specify) the conflict or problem present in the case.
• What is at issue or at stake?

3.  S List main possible solutions to the case.

4.  O State important and probable outcomes or consequences of each solution.
• What will happen?
• What is likely to happen?
• What might happen?

5.  L Describe the likely impact of each main solution on people’s lives, and on the interests and concerns of entities (i.e., institutions, organizations, companies, governments and states), as well as nonhumans and the environment.
• Who will be benefited?
• Who will be harmed?
• Who else will be impacted and how?

moral principles

6.  V Explain the values upheld and those infringed by each main solution.
• Refer to relevant moral principles, e.g., honesty, harm, fidelity, autonomy, confidentiality, lawfulness, equal consideration of interests;
• Characterize salient moral rights, e.g., knowledge, privacy, life, free expression, due process, safety, property;
• If relevant, include consideration of the interests and rights of future generations.

7.  E Evaluate each main solution in terms of outcomes, likely impact and values upheld or infringed.

8.  D Decide which solution is best, state it, clarify its details, and justify it.

9.  D Defend the decision against objections to its main weaknesses.

Use this method to analyze and reach a decision about the best course of action in one of the following cases:

Actions case, (1) The “Abortion Pill”

Make sure you consider the case you choose in light of some of the moral theories and principles we have discussed in the class.

How much you write about each step in the method is up to you, but you should write a minimum of 500 words in total. Type up your analysis, with each step clearly numbered

U.S. crime strategies

Researching programs or models of policing or corrections

Comparing U.S. crime strategies or issues with other nations

Exploring new technological advances that have changed the justice system

The paper should consist of various sections, such as introduction, literature review, conclusion etc.  Use at least 8 sources and follow APA format for this paper.   Title page, Abstract, and Reference pages are required but are not included in the required pages count.

General Writing Guidelines:

Use APA format for all portions of the paper. This should include:

Cover page

The body of the paper should be organized as follows:

Introduction

Literature review – find and document at least 8 relevant articles related to your topic.

Body

Conclusion

References

The final paper should be 10 pages in length. This does not include the cover page, references and appendices.  It should be double spaced no more than 12 point font.