Abstract
This paper examines how the authors of the article "A Guide to the Assessment of Child and Family" assert that a thorough assessment of both the family and the child is necessary to form an effective base upon which to rest their future therapy. This paper summarizes the article and examines the use of this perspective in everyday child and youth care work.

Tags:clinical, assessment, children

Abstract
This paper provides a guide to clinical decision-making, using as an example a case of acanthosis nigricans, a skin discoloration typical of obese, diabetic patients. The paper contains an outline of the suggested write-up, and includes explanations of how to complete each section. The paper concludes with designated area for health improvement recommendations, referrals, consults and follow-up appointments. This paper contains illustrative figures.

Outline:

Subjective Data
Objective Data
Assessment
Plan
Works Cited

From the Paper
"A. There is good proof that hyperglycemia suggests threat for all of the common late complications of DM, which are the most important causes of excess morbidity and mortality in diabetics. Nevertheless, there is no generally applicable and consistently effective means of maintaining persistently normal plasma glucose fluctuations in diabetics, and efforts to do so entail significant risks of causing frequent or severe hypoglycemic episodes, particularly in IDDM patients.
"Treatment regimens differ in the priorities assigned to keeping the risks for hypoglycemia minimal and to keeping the diurnal plasma glucose fluctuations in a normal to near-normal range. Regimens are effective in preventing symptomatic hyperglycemia and DKA or NKHHC under most circumstances, but their ability to reduce the risks for the common late complications of DM is unknown."

Tags:assessment, medical, diabetes, record

Abstract
This paper provides an overview of two relatively common and recently derived questionnaire-type personality assessments used by mental health professionals, the MCMI-III (Millon Clinical Multiaxial Inventory) and the MACI (Millon(TM) Adolescent Clinical Inventory), and then goes on to compare them with more subjective assessment methods such as the Rorschach 'inkblot' test once commonly used in clinical practice. The writer describes the difference between the objective and comprehensive Millon approach with the highly subjective and personalized Rorschach method. The paper concludes with assessing other common and less scientific methods of personality screening and testing, such as Jungian methods of personality classification and self-directed online personality surveys.

Outline:
Introduction
Validity
Comprehensiveness
Applicability
Cultural Bias
Conclusion

From the Paper
"The validity of personality assessment devices such as the MCMI-III (Millon Clinical Multiaxial Inventory) and its adolescent incarnation the MACI (Millon Adolescent Clinical Inventory) has been subject to increasing scrutiny over the years. Such tests have grown increasingly popular because of their relative ease of use in providing an assessment of an individual's state of mental health. In particular, Millon's emphasis on cohering with the criteria of different Axis I and Axis II definitions make it useful, as the findings correlate with the bureaucratic requirements of demonstrating mental health or lack thereof on insurance claims for patient treatment. The Millon approach is also helpful in screening a study pool of individuals for research studies. Overall, personality testing has become more common in psychotherapeutic practice, given the need for quick assessments for individuals with limited therapeutic sessions due to insurance company limitations on mental health treatment, as well as the pressures for a quick diagnosis in cost and time-strapped hospital environment. Psychological assessment through testing in general has become more widespread in nature and more accepted by the public and clinicians at large."

Tags:introversion Gestalt holistic, personality disorder, pathology extroversion therapeutic

Abstract
This paper reviews the processes undertaken by a clinical nurse. The paper outlines, reviews and explains the process a nurse follows when admitting, assessing and dealing with a patient. It uses as an example, a case study about a 12 year old girl involved in a car accident.

Outline:
Assessment
Description of the Patient
Developmental Assessment
On Medical Results
On Behavior
Planning and Implementation
Goal
Nursing Intervention and Rationale
Nursing Action

From the Paper
"To achieve better medical laboratory test result for LD, her diet must be enhanced. She needs more amount of carbohydrate and fruits to increase both her glucose and potassium level. She should be fed with the combination of bread, wheat, milk, banana and other fruits on her meals. If LD continuously complain about lack of appetite, nurses then may intervene by putting extra efforts with the food. Such as giving her reward or incentive if she eats what is served to her (Selekman, 2000). Rewards may include game activities, hearing nice stories or small items such as ribbons, clips or headbands for her hair. "

Tags:diet, nutrition, headache, patient, medical, laboratory, test, result, adolescents

Abstract
This paper shall examine the distinctions between clinical diagnosis and assessment of a disorder in psychiatric work. The use of ADHD as a means of determining diagnosis shall be used.

Abstract
This paper discusses the impact that legal and ethical issues can have on the field of clinical psychology. It explains that in clinical psychology, a lack of cultural understanding can limit one's options with regard to assessment and treatment and that the needs of the individual are as diverse as the cultural differences between the client and the therapist. These needs and differences must be understood if the therapist is to be effective.

From the Paper
''Two legal issues associated with clinical psychology are the application of psychological testing that is being used to hire new employees and promote employees from within the company. A second legal issue associated with clinical psychology is the use of forensic psychologists in the legal system. The impact these issues have on the field of clinical psychology is with regard to the use of forensic psychologists in the legal system that are being paid to provide a predetermined diagnosis. Those who can afford to hire a forensic psychologist have a better chance at receiving a lesser sentence or being found not guilty.''

Tags:confidentiality, diagnosis, psychology

Abstract
This paper proposes the best pain assessment method for infants in the neonatal ward of a hospital. The paper assumes that the Wong-Baker standard is the comparator, and evaluates several techniques as addressed in a number of clinical studies performed over the past few years. The paper points out that the lack of ability of nurses to consistently judge infant pain can lead to inconsistent application of anti-pain medications, and variability in the amount of pain caused to an infant during necessary procedures. The paper also explains that diagnosis generally precedes therapy in medicine. Good, consistent diagnosis of situations that cause pain can lead to novel methods to reduce that pain. The writer believes that nurses do not intend to be either inaccurate or to judge differently than their fellow nurses.

Outline:
Introduction
The Wong-Baker Pain Scale
Measuring Neonatal Pain is More Difficult
The Need for More Objective Infant Pain Measurement
PIPP: The Most Comprehensive and Complicated Method
Analysis of the PIPP for the Neonatal Ward
CRIES Method to Assess Pain
High Variability Questions Accuracy of PIPP
Conclusion

From the Paper
"There was an interesting mid-level 'pain' measurement included in the Kritjansen study: movement which should not have caused pain. It was interesting to note that the PIPP score was significantly higher than the resting state, and lower than during the time that the infants should have felt pain. This suggests that the PIPP is measuring more than pain, or conversely that activities like changing diapers cause pain to the baby (probably less likely). Two other limitations of the study should be covered when evaluating PIPP as an indicator of pain: the difficulty of measuring all seven elements in a busy neonatal ward, and the variability between nurses."

Tags:pediatric, preterm, infant, baby, measure

Abstract
The goal of this paper is to propose the best pain assessment method for infants in the neonatal ward of a hospital. This paper assumes that the Wong-Baker standard is the comparator, and evaluates several techniques as addressed in a number of clinical studies performed over the past few years.

From the Paper
"The goal of this paper is to propose the best pain assessment method for infants in the neonatal ward of a hospital. This paper will assume that the Wong-Baker standard is the comparator, and evaluate several techniques as addressed in a number of clinical studies performed over the past few years. The Wong-Baker Pain Scale..."

Tags:pain, neonate, nursing

Abstract
This paper discusses that the differential diagnosis for a vomiting four-day-old child is extensive, including intestinal obstructions, inborn errors of metabolism, sepsis, intracranial bleeding, gastroenteritis, and overfeeding. The author concludes that imaging diagnosis suggests malrotation of the small intestine, resulting in partial obstruction of the small bowel. The paper relates that the prognosis for children who undergo surgery before development of any degree of bowel infarction usually can return to normal function within three days.

Table of Contents
General Information
Chief Complaint
History of the Present Illness
Family History
Review of Systems
Social History
Physical Examination
Clinical Laboratory
Differential Diagnosis
Assessment
Treatment plan
Discussion

From the Paper
"Imaging studies were obtained. Abdominal radiographs were essentially unremarkable. An upper GI series was obtained and showed that the duodenal-jejunal junction was abnormally located to the right of the patient's spine. After this point there was a narrowing of the duodenum with a fine thread of contrast extending inferiorly in a "corkscrew" like appearance. Abdominal ultrasound with color Doppler was also obtained and shows the superior mesenteric vein coursing around the superior mesenteric artery in a swirl-like appearance."

Tags:compalint, history, systems, treatment, laboratory

Abstract
This paper is an assessment of the Behavioral Healthcare of the Carolinas/ North Carolina Mentor Healthcare Network (BHC/NC Mentor), which is a division of National Mentor Healthcare Network. The author describes the organization and its leadership, the tools it uses to measure performance, and its modus operandi in detail, pointing out its strengths and weaknesses. The author also explains the process by which a new client receives help and the work done by the staff in the community, as well as the training methods used to keep staff up-to-date on the latest practices. The paper concludes that BHC/NC Mentor is a leader in the behavioral health care field by promoting a holistic approach to its consumers.

Outline:
Mission and Structure
Measurements of Outcomes
The Mission Purpose
Services and Strengths
How the Process of Community Support Services Works
Facing Barriers
BHC/NC Mentor, the Community and Strengths
Challenges to BHC/NC Mentor
Theory Y and BHC/NC Mentor
Conclusion

From the Paper
"BHC/NC Mentor refers to people that are using its services as consumers. It focuses on improved conditions through community supports and the ability to function appropriately in natural settings. This agency also believes that individuals and families should be directed to various resources consistent with each individual need, regardless of their condition. It is important to empower the individual in the helping relationship since they are the experts in knowing their needs and strengths."

Tags:proactive, challenge, provider, ideology, evidence-based, clinical, shortage, coordinator, therapist, supportive