J.S., age 16, comes to your office for a routine physical examination. You notice that she has facial acne that she is hiding with heavy makeup. She has tried Clearasil inconsistently without relief. She works at a fast food restaurant as a cook after school and on the weekends. Her mother has made her stop eating chocolates and greasy foods, but that has not seemed to help her. She is concerned because her prom is in 6 weeks and she wants her face clear. On physical examination, there are open and closed comedones as well as papules on her face and back. No scarring is evident. J.S. confides that she has recently become sexually active.

Answer the following questions and please provide references

1. List specific treatment goals for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter or dietary supplement would you recommend to J.S.?

8. What dietary and lifestyle changes should be recommended for J.S.?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

Great post Richard, i can also add that , Carteret (2011) in her article on Cultural values of Asian patients and families, she mentions that Asians tend to be highly group-oriented people who place a strong emphasis on family connection as the major source of identity and protection against the hardships of life.  I have interacted with Asians American immigrants from India and Philippines before and I totally agree with this statement.  They are family oriented kind of people and their main focus is the family.   When interviewing a 20 year old Asian American, Carteret (2011) emphasizes that one need to establish the professional role and assume authority, check for understanding, be patient and consider periods of silence opportunities for reflection, provide clear and full information, be attentive to nonverbal cues, address immediate needs and give concrete advice and reach consensus by compromising.  One more point I like from her article,  (Carteret, 2011), is that an intentional lack of directness in conversation is favored by people from many Asian cultures because preserving harmony between people is often more important than getting at the exact “truth”.  “Checking for understanding when communicating with Asian patients/families is critical,” Ms. Carteret says. “It is all too easy to misinterpret a common gesture as agreement or understanding when the patient is actually confused or even resistant to a diagnosis/treatment.

I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE NEEDED PLEASE.

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

Learning Objectives

Students will:

• Evaluate the application of current literature to clinical practice

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide.
• Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

• Provide an overview of the article you selected.
  • What population is under consideration?
  • What was the specific intervention that was used? Is this a new intervention or one that was already used?
  • What were the author’s claims?
• Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Access and review the Executive Summary (pages xi-xx) of MedPAC’s Report to the Congress (2017):

MedPAC. (2017). Report to the Congress: Medicare and the Health Care Delivery System. Retrieved from http://www.medpac.gov/docs/default-source/reports/jun17_reporttocongress_sec.pdf

The executive summary provides several brief health care delivery recommendations in regard to the Medicare program. Additional information for each recommendation can be found throughout the document.

For your final SLP project, identify three MedPAC recommendations to Congress 

1. Discuss each selected recommendation in detail.
2. Provide rationale of their importance and associated impact in health care delivery.
3. Hypothesize an outcome for each selected recommendation.

Write a 7-9 page paper with bibliography. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Pocket Guide to APA Style to ensure in-text citations and reference list are correct.

You will synthesize your understanding of why Medicare Part D passed, as well as the influence of the various interest groups and governmental entities during this process. Make sure to discuss both the policy process and the policy environment—that is, the key players involved and other circumstances that shaped this policy-making effort. For this assignment, address the following questions, doing further research as needed:

• How did various stakeholder groups influence the final outcome of Medicare Part D legislation?
• What were the specific strategies and tools that were used most effectively?
• Does the fact that Medicare Part D passed corresponds with your understanding of policy and politics, or did this surprise you? Explain your response.