Today you are meeting with Jane Sullivan, a 32-year-old newly widowed woman who is four months pregnant. Jane was referred to you by her nurse-midwife, who has been caring for Jane for the last two months. Jane enters your office looking exhausted. Her 18-month-old son, James, has food on his face and in his hair. Jane’s shirt is ill-fitting and crumpled, her hair is pulled back with just a rubber band, and her jeans have food crusted on them. It goes beyond the typical “mother of a toddler” look. She starts to cry as soon as she sits down in your office and then has a hard time composing herself. She runs her hand through her hair, seeming to not notice the rubber band falling out. You try to distract James with a toy, but he clings to Jane and buries his face in her legs. When she finally stops crying, she tells you, “I’m so sorry. I am having such a hard time dealing with everything. My husband, Jacob, was killed in Afghanistan last month by a roadside bomb. I had only found out I was pregnant a couple of weeks before that and Jake didn’t even know yet…. I…I must have gotten pregnant the night before he deployed. He’d only been gone for just three months.” Jane takes a deep, shuddering breath and continues. “I’ve been having nightmares and barely eating.” She laughs and brushes at her jeans. “That’s from James’ lunch. ”James, who hasn’t left her legs, starts crying. While attempting to comfort him, she says, “We live on base. I don’t think I can stay there much longer, and I don’t know where to go. I don’t have the energy to find a new home and pack and I just can’t face it. Sometimes I think it would just be easier to pack the car with a few things and drive off when they tell me to leave.
“I just don’t know what to do with myself. I just want to be with Jake. I don’t want to be with anyone else. Mari keeps asking me to come over, just for coffee, but I don’t know, I never go.” Quietly, almost whispering, she says, “Actually, I’ve barely left the house except to see the midwife and now you. I have to protect the baby since that’s all we’ve got left of Jake.”
James raises his tear-stained face. “Mommy? Where Dada? ”Jane digs in her purse and pulls out a crumpled piece of paper. “Hush, James. Here’s Daddy’s picture.” She wipes his face with a tissue and takes a few shuddering breaths. “Back at the end of high school. Do you know how senior year is supposed to be the best year? Not for me. My daddy died. He was only 42, and I’d just turned 18. Supposed to be an adult and all I wanted was my daddy back. But at least I got to know him for 18 years. James and the baby will not know their daddy at all!” “I had to see a counselor for a while back then, too. I missed a lot of schools, but I graduated anyway. My teachers all understood that I was depressed. I kind of feel the same way now. Only I think it’s way worse, being pregnant and having a toddler.” She half laughs. “And I thought the senior year was bad. What a child I was!” “And my Mom is not here to help. She died just before James was born. Breast cancer. Two years ago. I cannot even think about whether that might happen to me. I do have a sister; Bonnie lives out in Oregon. We were close before but became even closer after Mom died. She was a big help in giving me advice about James! But she is going through a divorce and beginning life as a single mom herself! My nieces are 8, 7, and 5. Can you believe it? This whole family has lost parent after parent after parent.” Jane sighs deeply and goes quiet.
What diagnosis would you give Jane? Provide a rationale and evidence for your answer.
- What is your biggest concern for Jane? What should be addressed first?
- What pharmacological and non-pharmacological interventions would you suggest?
Provide rationale and evidence to support your answer.
- Due to the gestation of Jane’s pregnancy, what issues might influence your decision-making process relative to pharmacological interventions? Provide rationale and
evidence for your answer.
- Do you think James warrants any interventions? If so, what interventions would you make? What developmental tasks, according to Erickson, are these recommendations based on? Provide rationale and evidence to support your answer.
- What military and government resources might be available to Jane as a military wife?
(Include links where possible.)
- In your community, what resources are available to young widows and widowers, as well as families of veterans killed in combat?
Against Plastic Surgery contentions against plastic medical procedure: essayIt is certifiably not a mystery that the norms of magnificence these days are fairly severe and requesting. Regardless of what soldiers against separation state, appearances that coordinate the current magnificence models stay one of the pivotal attributes of a cutting edge person. Individuals who are discontent with their appearances have changed methods for improving the manner in which they look, for example, cosmetics, garments, or being in congruity with themselves. Be that as it may, there is a progressively extreme other option, which is powerful as far as changing the manner in which an individual resembles, however is exceptionally discussed and ought to be kept away from in most of cases: plastic medical procedure. The principal explanation behind not getting plastic medical procedure is that this system can turn out to be profoundly addictive (Huffington Post). Albeit an individual may figure they would do a solitary improvement, the compulsion to continue "changing" one's appearance can get overpowering and lead to unusual and frequently tragic outcomes. The best instances of this are ladies like Cindy Jackson (who got 55 plastic medical procedures, which is a world record), or Jocelyn Wildenstein, who is reputed to have spent around 4 million dollars on plastic medical procedures. The "prior and then afterward" photographs of her can be discovered online effectively, so you can make your decisions taking a gander at the aftereffects of the various plastic medical procedures she has experienced. Janice Dickinson, Michael Jackson, Courtney Love, and different acclaimed characters who had experienced plastic medical procedures can likewise be genuine instances of why this sort of medical procedure ought to be refrained from. Free Essay Pre-Grading for an "Offer" GET AN EXPERT TO ANALYZE YOUR PAPER TO KNOW YOUR Evaluation BEFORE TURNING YOUR PAPER IN. Discover Your Grade Plastic medical procedure doesn't take care of the fundamental issue of the individual who chooses to experience it, which is being discontent with their appearance. Such an individual ought to rather concentrate on taking care of their inward issues, and should give more consideration to what is happening inside themselves as opposed to on the outside of their bodies (MindBodyGreen). On account of a maturing individual, it may be the dread of death or the inclination that they don't have an energetic appearance any longer that makes them change their appearance. In the event that an individual is fat, they ought to consider changing their eating regimen and way of life as opposed to doing a liposuction. There is additionally a genuine mental issue called dysmorphophobia—the significant indication is as a rule seriously unsatisfied with one's appearance, body parts, or body all in all. At any rate, visiting an analyst or a psychotherapist could be more valuable and fulfilling than having your face overhauled. Remember that plastic medical procedure is something that remaining parts with you perpetually (dbreath.com). You can't come back to your common look on the off chance that you feel discontent with the medical procedure. You should do another medical procedure to seem to be like your unique self, or attempt to enhance your past plastic medical procedure. Also, in the event that you attempt to stay aware of design patterns, you will lose the race, since patterns change, and your appearance remains. What is common is quite often superior to the counterfeit, and somewhere inside you will realize that the manner in which you used to look before the medical procedure was better. Be that as it may, it is important to recognize restorative and reconstructive medical procedure. If there should arise an occurrence of mishaps, when an individual's appearance is demolished, reconstructive medical procedure is without a doubt vital and accommodating. Plastic medical procedure in its restorative viewpoint ought to be refrained from. Changing and improving one's appearance can get addictive, so an individual may feel a steady want to experience medical procedures; likewise, this longing is typically brought about by issues with prosperity, which a therapist could assist with superior to a specialist. You can't fix plastic medical procedure, so once you experience it, you should live with it until the end of time. Act naturally, and see the magnificence you hold normally. References Shah, Yagana. "4 Good Reasons to Never Get Plastic Surgery>GET ANSWER