Case Vignette
A 66-year-old male has known for about 2 years that he is terminally ill, with Melanoma but he is still in good health. He tells you that for the past 2 years, his disease was in remission. Suddenly 3 months ago, he had a relapse, cancer metastasized and he was told that the disease this time would need more aggressive chemotherapy.
He tells you that this wasting disease is very painful and there will be little relief for the pain. So he has been drinking a lot to deal with sadness. To complicate matters further, he has been told that he needs to stop drinking to receive chemotherapy. He has made multiple trips to his oncologists to receive chemotherapy, but he was denied treatment and told that he needs to stop drinking and needs to be detoxed from the alcoholic. He has decided to settle all his affairs, and he tells you he feels satisfied that his family will be better off with him gone. He has decided to die with dignity. He has a definite plan to keep drinking knowing he would not receive chemotherapy and it would kill him. He has come to you to check things out about how to let his family know what he is going to do. He told you his wife has been encouraging him and wants him to be better. While-talking with you he expresses the ambivalence that plagues
him.
"On the one hand, if I quit drinking, I can get chemotherapy and it may prolong my life. I don't know for what."
"On the other hand, if I don't stop drinking, I will not get chemotherapy and I will die."
Tears roll down his cheek, he tells you he is tired of the pain and then makes jest of the situation by laughing and joking about how life is meant to be lived.

1. What strategies do you suppose could be employed in working with this person? What other alternatives might the counselor help this individual to explore?

Answers

Answer 1
I am no expert just my opinion.

. He started drinking because his mindset changed with his diagnosis wich let him hopeless , he sees no future and his acts makes him get away from the change of having a future. So how do we change his mindset? Maybe the attitude of crying in desperation for him to stay and try chemo makes him more stubborn defensive of the feeling of anhedonia and also under the control of addictions he is more depresed gets more defensive . In my opinion the best solution is not directly tell him to start chemo but to give him subtle motivation first to quit alcohol and to start chemo.If he starts seeing a future people talking good about life around him ,talking about progress of others with the same disease even if it s not his own progression it s some of the best to give motivation, talking in a permissive way like he is the one making the decision to quit although not healthy saying thay he is allowed to drink how much as he wants after chemo -just to making him stop and get chemo and deal with everything after. for some individuals maybe seeing the consequences and future complicatiosns not death a term that he can be numb maybe useful for motivation using some fear. Saying that he is a lucky one having an options some of the people with cancer don t. I would try in subtle manner to give him motivation, a feeling of gratitude with examples and also showing the reality.

Related Questions

CPR on an infant who is in cardiac arrest. He does not have an advanced airway in place. You demonstrate appropriate technique for high-quality CPR by performing _____ compressions and 2 ventilations.

Answers

The appropriate technique for high-quality CPR by performing .30 compressions and 2 ventilations compressions and 2 ventilations.


CPR
for a child experiencing cardiac arrest. He doesn't have a sophisticated airway setup. You complete 30 compressions and 2 ventilations to show proper technique for high-quality CPR.
Chest compressions and artificial ventilation are used in cardiopulmonary resuscitation (CPR) to sustain blood flow and oxygenation after cardiac arrest. Although patients with cardiac arrest have low survival rates and poor neurologic outcomes, prompt, proper resuscitation—including prompt defibrillation when necessary—and timely post-cardiac arrest care is associated with improved survival and neurologic outcomes. At a steady rate of 100 to 120 compressions a minute. two breaths to 30 compressions For one person, the CPR ratio is 30 compressions to 2 breaths.

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Which of the following conditions is most likely to improve your physical
safety?

Answers

Answer Second answer it iss

Explanation:

second

Medical Application
A neurology practice is interested in investing in a new piece of equipment, an electromyogram
(EMG) machine, which would be used for nerve conduction testing. The new EMG machine
would cost $20,000. The practice estimates that with the machine it would be able to perform 20
EMGS per month and charge $500 for each testing. However, the practice budgeted to give
raises to its five employees this year, which would be $90,000. Based on the utilitarianism
theory, what would be the best option? What would be the cost-benefit analysis to purchasing
the machine versus giving raises to the employees instead?

Answers

Utilitarianism theory raises the value of the actions that bring happiness over those that brings sadness.

What is the cost - benefit analysis?

We have to know that the neurology practice is also a business venture. As such, the economic implication of the decisions of the establishment are of paramount importance.

Now we know that the utilitarianism theory raises the value of the actions that bring happiness over those that brings sadness. Hence this theory would opt that the raise should be given to the worker rather than purchasing the machine.'

On the other hand, looking at a cost - benefit perspective, it is better to buy the machine because it generates funds that could be used for the pay raise of the employees at a latter time.

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This week's readings cover pregnancy; specifically, caloric and nutrient needs, healthy weight gain, and characteristics affecting pregnancy outcomes.

It is vitally important that women who choose to become pregnant understand the importance of proper nutrition for the sake of her and the unborn child. Using the information in the textbook, discuss the following scenario and answer the questions listed below the scenario completely.

"Sandy, who is 6 months pregnant, has been having heartburn after meals, constipation, and difficult bowel movements."

1. Identify the causes of Sandy's ailments.

2. Explain why these ailments are common during pregnancy.

3. Advise Sandy on how to remedy her problems.

Answers

Heartburn in pregnancy usually appears in the second and third trimester of pregnancy due to the increased production of the hormone progesterone, which allows the muscles of the uterus to relax to allow it to grow and support the baby.

What does sandy have?

1. Identify the causes of Sandy's illnesses.

Some of these symptoms occur for hormonal reasons and others for mechanical reasons for the maintenance of the pregnancy itself.

2. Explain why these conditions are common during pregnancy.

Due to the large number of hormones released during pregnancy and the physical space for the growth of the fetus, which in most cases requires bowel movement, these are common symptoms in pregnancy.

3. Advise Sandy on how to solve her problems.

The diet during pregnancy should be rich in whole grains, fruits, vegetables, legumes, milk and derivatives, in addition to white and lean meats. It is very important that the woman prepares her food grilled or steamed. In this way, avoiding the intake of processed foods, fried foods and raw foods.

With this information, we can conclude that Heartburn in pregnancy is caused by hormonal changes as well as compression of the gastric system.

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What should a team do when moving a patient to seclusion

Answers

A team must justify patient behavior that threatens the physical safety of the patient, the team or others when moving a patient to seclusion

When can a patient be placed in seclusion?

Uses restraint or isolation only when it can be clinically justified or when justified by patient behavior that threatens the physical safety of the patient, staff, or others.

With this information, we can conclude that The immediate goals of seclusion and physical restraint are to defuse the dangerous situation

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How many DAW codes are used in the pharmaceutical practice ? a ) Seven b ) Two c ) Three d ) Five

Answers

Answer:

a ) Seven

Explanation:

Describe the structure of the West Nile Virus, the molecular mechanism of the infection, the symptoms of a WNV infection, potential outcomes, and complication of the infection.

Answers

The West Nile Virus body has an envelope surrounding an icosahedral capsid which is approximately 50 nm in size.

What is the structure, infection and symptoms of West Nile Virus?

The structure of the West Nile Virus consists of an envelope surrounding an icosahedral capsid of approximately 50 nm in size. West Nile virus is transmitted to humans by mosquitoes. Once bitten by an infected mosquito, the viral particles enters the human body and cause infection. The symptoms of this infection are headache, body aches, joint pains, vomiting, diarrhea, or rash.

So we can conclude that the West Nile Virus body has an envelope surrounding an icosahedral capsid which is approximately 50 nm in size.

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Muscle tissue is
Connective tissue called fascina
True
a test that measures the
amount of crea in the blood
Is called

Answers

It’s called a BUN test

The government program offered only to a private insurance company or other private company approved by Medicare that provides prescription drug covers describes which of the following

Answers

All medications that must be covered by Part D plans are:
immunosuppressants, antidepressants, antipsychotics, anticonvulsants, antiretrovirals, and antineoplastics.

What does the above named program cover?

it is to be noted that the health insurance provided by Medicare-approved private firms varies, but it may include coverage for the following:

aid with Medicare expendituresdeductiblescopays, coinsurance; and prescription medication coverage.

Most medications in particular protected groups," such as those used to treat cancer or HIV/AIDS, fall within the category of prescription medication.

Hence, it is correct to indicate that the government program offered only to a private insurance company or other private company approved by Medicare that provides prescription drug covers:

immunosuppressantsantidepressantsantipsychoticsanticonvulsantsantiretrovirals, and antineoplastics.

The options to the answers were missing hence the general answer.

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According to the Texas rules, It is acceptable at times for items like salt and pepper packets to be saved and given to another customer if they were not contaminated

Answers

That is F. False they are not allowed.

The thing that must be discarded after a customer had it is  a bowl of cocktail sauce.

What is Food Management?

Food management is known to be a kind of an extensive process that is made up of all the  formal review in regards to  food selection, its preparation, its display, and also in terms of its preservation.

Note that the aim of this is that it helps to make sure that all food sold in commercial restaurants or businesses are said to meet regulations that have been laid by the state and/or federal government.

Hence, The thing that must be discarded after a customer had it is  a bowl of cocktail sauce.

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See full question below

According to the Texas Rules, it is acceptable at times for item like salt and pepper packets to be saved and given to another customer if they were not contaminated. Which of the following must be discarded after a customer had it?

putting on your running shoes and then trying the laces is considered a ___?
A. Trait tape
B. Observational tape
C. State tape
D. Progressive tape

Answers

Putting on your running shoes and then trying the laces is considered as Progressive trait.

Hence, Option (d) is correct

If you enjoy thinking about novel solutions and are adaptable to change, you are a progressive thinker.

Curiosity, open-mindedness and persistence are some of the traits of progressive people.

People who are progressive or who hold progressive views believe that modern methods of doing things should be used instead of more conventional ones.

The opposite of wanting to keep things the same, preferring or promoting development, change, improvement, or reform, especially in political matters is known as progressiveness.

Or making strides toward better circumstances; using or promoting more progressive or liberal concepts, novel or experimental techniques, etc. is called progressiveness.

Hence, Putting on your running shoes and then trying the laces is considered as Progressive trait.

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Write any How does personal hygiene support to improve the surroundings?​

Answers

Answer:

1.they need to use strong chemical which kills gems

Answer:

Personal hygiene can help protect yourself from getting gastro or infectious diseases such as colds and even the flu.

Explanation:

Other professionals can be a source of support for you at work . True or False ?

Answers

Answer: yes, other professionals can be a source of support for you at work.

So the answer is true!

yep !! they def can be

Which of the following is a health measure taken by the local government to improve public health?

Answers

The true health measure which is taken by the local government to improve public health is to prevent the spread of communicable disease.

What is public health measure?

Public health measures can be defined as those measures or actions the government, individuals, health institutions, communities, local and national governments and international bodies to slow or stop the spread of an infectious disease.

A communicable disease is a disease which is able to be transmitted between people or species; contagious or catching such as; flu, cough, tuberculosis Corona virus etc.

So therefore, the true health measure which is taken by the local government to improve public health is to prevent the spread of communicable disease.

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how long is fluoride varnish left in after application

Answers

Answer: It is quickly applied and hardens. Then it is brushed off after 4 to 12 hours.

it is quickly applied and and then it hardens

A condition that causes the sufferer to worry excessively and uncontrollably about future threats is
called
O agoraphobia.
O generalized anxiety disorder.
obsessive-compulsive disorder.
O panic disorder.
4

Answers

quick answer: generalized anxiety disorder.
please like if it is correct :D

the nurse is assessing a client with intestinal obstruction. which of the following laboratory tests will be recommended

Answers

I believe it’s An abdominal x-ray

Who should determine when a child should start eating solid food

Answers

Answer:

Age.

Explanation:

Without consideration of the age of a child, a mother or doctor is tactless in determining that a child should eat solid food. A child must be given liquid and light food like cerelac, porridge (home made), etc at the early age due to vital nutrients in there necessary for the child at that age

I believe the age and the performance status of the child. Some children don’t develop teeth or the ability of eating solid foods at certain ages, while other children are speedy and jump up to that level.


Tasks are required activities that need to take place in order to complete a goal.
Please select the best answer from the choices provided.

Answers

Answer:

,

Explanation:

Jessica just submitted a CANCEL Event Request Form to cancel an event she is scheduled to conduct three weeks from today. The only advertising she has done is to post a flyer at the event venue. Select the cancellation procedure she does not need to follow. Be at the venue at the time the event had been scheduled to start and remain there for 30 minutes in case any consumer arrives. Notify all consumers who have RSVP'd that the event has been canceled. Remove the event advertisement posted at the venue and replace it with a notification of the cancellation. Document all steps taken to notify consumers of the cancellation.

Answers

The cancellation procedure she does not need to follow is to be at the venue at the time the event had been scheduled to start and remain there for 30 minutes in case any consumer arrives. Option A. This is further explained below.

What is the cancellation procedure?

Generally, the action of canceling, or a specific instance of canceling The game was called off because of the poor weather conditions.

In conclusion,  She does not have to follow the cancellation protocol, which is to be at the venue at the stated start time and wait there for 30 minutes in case any customers come.

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Mrs. Walter is enrolled in her state Medicaid program in addition to Medicare. What should she be aware of when considering enrollment a Medicare advantage plan.

Answers

Medicare advantage plan is that Medicaid will coordinate with participating Medicaid participating providers.

What is Medicare?

Medicare is an advantage program that tends to focus on the elderly people in the society. It is a health insurance program that helps to reduce the out of pocket expenses of the elderly when they seek to access health care and is available in all the 50 states of the United States of America.

We know that in addition to Medicare that is made available by the Federal government, various state governments also have similar programs.

Hence, what Mrs. Walter should be aware of when considering enrollment a Medicare advantage plan is that Medicaid will coordinate with participating Medicaid participating providers (Option B).

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Missing parts:

Mrs. Walters is enrolled in her state’s Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage plan?

a. If a provider accepts her Medicare HealthPlan coverage, that provider is legally obligated to also accept her Medicaid coverage, so she does not need to worry about finding providers who participate in both Medicare and Medicaid.

b. Medicaid will coordinate benefits only with Medicaid participating providers.

c. She can submit any bills she has for co-payments under Medicare to the state’s Medicaid program and they will always be fully covered.

d. State Medicaid programs do not coordinate any of their coverage with Medicare Health Plans.

Potentially hazardous food requires time or temperature controls for safety is

Answers

Potentially hazardous food requires time or temperature controls for safety to prevent bacteria growth.

What is Potentially hazardous Foods?

These are the foods which require temperature control for their safety to prevent growth of microbes so as to prevent spoilage.

Examples of these type of foods include dairy products, raw/cooked animal products etc.

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how can media educate people on femicide in a democratic country?​

Answers

Media can educate people on femicide in a democratic country by Using appropriate language and accuracy, not blame victims; give the survivor a voice instead, Consult the professionals, Informing the public, Including details about how survivors can obtain help.

1)  Using appropriate language and accuracy

Media should utilize clear language to alert the public to the existence of many types of violence, including femicide, forced marriage, cyberbullying, psychological abuse, and economic repression.

2) Not blame victims; give the survivor a voice instead

It is essential for accurate reporting to include the survivor's perspective, and media outlets frequently exclude this information.

3) Consult the professionals

Understanding what an expert has to say about femicide helps both the public and the journalist learn more about the subject.

4) Inform the public

It is crucial to inform the people of these facts and to inform them of their constitutional rights.

5) Include details about how survivors can obtain help

By sharing this information on the community platform, we can encourage more survivors—especially unreported survivors—to get the assistance they require rather than leaving them to struggle on their own.

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Why do you think it is necessary to gain knowledge regarding first aid / life support even if you're not in the medical field?

Answers

Yes, as it can help out in sticky situations. For example, out hiking and a snake bites you, you will know how to limit the poisoning.

Enrollment applications must be received by Wellcare no later than calendar day(s) following receipt from the beneficiary.
O a. 1
O b. 3
O c. 5
d. 7
Clear my choice

Answers

The enrollment applications must be received by Wellcare no later than 7 calendar day(s) following receipt from the beneficiary. Option D

What is an enrollment application?

Enrollment Application can simply be defined as those informations provided by an individual to request for a connection.

In conclusion, the enrollment applications must be received by Wellcare no later than 7 calendar day(s) following receipt from the beneficiary.

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It is appropriate to tell your new coworkers about the problems you had with your former office mate.
True

False

Answers

The required answer is False.

No, It is not appropriate to tell your new coworkers about the problems you had with your former office mate. This is confidential.

The majority of businesses and departments rely on collaboration between employees with different areas of expertise. Interoffice relationships, however, might possibly suffer from regular interaction and the pressure to do high-quality work on time, with some employees occasionally adopting a hostile or aggressive attitude toward their coworkers.

When handling disputes with your coworkers, take into account the following steps:

1. Don't discuss the issue with anyone else

2. Don't put off fixing the issue

3. Maintain a positive approach

4. Discuss the issue face-to-face

5. Remain composed

6. Get to the point

7. Look for areas of agreement

8. Pay attention to their perspective

9. Look for a compromise.

10. Recognize when a third party is required.

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What are the sensory homunculus and motor homunculus? How do they differ?

Answers

A sensory homunculus is a map that shows how the various anatomical components of the body process sensory information, whereas a motor homunculus shows how the various anatomical portions of the body process motor information.

Originally represented as little clay statues, homunculi are miniature human representations.

The map of neural connections related to sensory processing is represented by the sensory homunculus. The primary sensory cortex receives the information for the sensory homunculus from the thalamus.

A sample map of neural connections is the motor homunculus. The motor homunculus concentrates on the neurological system's motor processing.

Sensory homunculus differs from motor homunculus in basically two ways:

1) While the sensory homunculus concentrates on sensory processing, the motor homunculus is more concerned with motor processing.

2) The method through which the signals for the two forms arrive is another distinction between motor and sensory homunculus; whereas, sensory homunculus concerns signals communicated through the thalamus, motor homunculus concerns signals transmitted through the frontal lobes.

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I need help please anyone please PLEASE ?!!!!

Answers

The answer is C. Proteins
Answer is C - proteins
Reason

Proteins are the building blocks of life. Every cell in the human body contains protein. You need protein in your diet to help your body repair cells and make new ones.

What do you think is the importance of health

Answers

Answer:

Explanation:

Health is important to live life to the fullest. When a person leads a healthy lifestyle, the body remains healthy and the mind is active and fresh. Living a healthy life would extend longevity and also regenerate the body and mind. Having good health is of core importance to human happiness.22-Mar-2022

Health is important because it gives us tips and tools to use in life and it provides a high school credit.

List three different consequences of teen pregnancy. One of the three consequences should include a consequence relevant to the teen male (father). In your opinion, which is the most serious? Why? (Provide 5 sentences)

Answers

Answer:  lowered educational achievement, medical complications, higher subsequent fertility, low labor force participation, reduced earnings, a lifetime of economic stress and limited opportunity, and marital failure. For the Father  decreased educational achievements and increased likelihood of early marriage or cohabitation or he may not be present at all

Explanation:

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In particular, she wants to know the following:the mean satisfaction ratings and standard deviations by year and region in the worksheets Dealer Satisfaction and End-User Satisfactiona descriptive statistical summary for the 2012 customer survey datahow the response times differ in each quarter of the worksheet Response Timehow defects after delivery (worksheet Defects after Delivery) have changed over these 5 yearshow sales of mowers and tractors compare with industry totals and how strongly monthly product sales are correlated with industry sales Subject: Data Analytics for Business Consider two very long, straight, parallel conductors separated by a distance 3d. Conductor #1 carries current I toward the top of the page/screen, and Conductor #2 carries current 71 toward the top of the page/screen. Let d = 1.00 cm, and I = 13.0 A. (a.) 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