Tag: Model Answer

  • [Solved] English Homework

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    Labor Management – a year ago **files (1)** – ## Assignment4-ResearchPaperWeek6-TLMT441B001Spring2025-APEI.pdf **## Assignment4-ResearchPaperWeek6-TLMT441B001Spring2025-APEI.pdf** Assignment 4: Research Paper (Week 6) Hide Assignment Informa!on Turnitin™ This assignment will be submitted to Turnitin…

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    Labor Management

    – a year ago

    **files (1)**

    – ## Assignment4-ResearchPaperWeek6-TLMT441B001Spring2025-APEI.pdf

    **## Assignment4-ResearchPaperWeek6-TLMT441B001Spring2025-APEI.pdf**

    Assignment 4: Research Paper (Week 6)

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    Assignments Assignment 4: Research Paper (Week 6)

    Research Paper

    The research paper should be based on a topic discussed in the readings

    (books, articles) or videos. The requirements of this paper include a title

    page, 5-8 numbered pages of text, and a reference page. The research

    paper requires at least five references.

    All papers should meet the following criteria:

    · Follow APA 7th edition formatting and style guidelines

    · Follow all instructions for each assignment

    · 12 inch standard font such as Arial, Times New Roman or Calibri

    · 1 inch margins

    · Double-spaced

    · Submitted on time

    · Represent your best work

    Submit Cancel

    https://myclassroom.apus.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=532785&grpid=0&isprv=0&bp=0&ou=486785 5/12/25, 8:22 PM
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    Rubric Name: TLMT Assignment Rubric Undergraduate Level 300-400

    TLMT Assignment Rubric Undergraduate Level 300-400

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    **## Assignment4-ResearchPaperWeek6-TLMT441B001Spring2025-APEI.pdf**

    Assignment 4: Research Paper (Week 6)

    Hide Assignment Informa!on

    Turnitin™

    This assignment will be submitted to Turnitin™.

    Instructions

    Assignments Assignment 4: Research Paper (Week 6)

    Research Paper

    The research paper should be based on a topic discussed in the readings

    (books, articles) or videos. The requirements of this paper include a title

    page, 5-8 numbered pages of text, and a reference page. The research

    paper requires at least five references.

    All papers should meet the following criteria:

    · Follow APA 7th edition formatting and style guidelines

    · Follow all instructions for each assignment

    · 12 inch standard font such as Arial, Times New Roman or Calibri

    · 1 inch margins

    · Double-spaced

    · Submitted on time

    · Represent your best work

    Submit Cancel

    https://myclassroom.apus.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=532785&grpid=0&isprv=0&bp=0&ou=486785 5/12/25, 8:22 PM
    Page 1 of 3

    Add a File Record Audio Record Video

    Due on May 25, 2025 11:59 PM

    Attachments

    Hide Rubrics

    Rubric Name: TLMT Assignment Rubric Undergraduate Level 300-400

    TLMT Assignment Rubric Undergraduate Level 300-400

    Submit Assignment

    Files to submit

    (0) file(s) to submit

    After uploading, you must click Submit to complete the submission.

    Comments

    https://myclassroom.apus.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=532785&grpid=0&isprv=0&bp=0&ou=486785 5/12/25, 8:22 PM
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  • [Solved] BB

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    – a year ago **files (1)** – ## Soap.docx **## Soap.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comp…

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    – a year ago

    **files (1)**

    – ## Soap.docx

    **## Soap.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## Soap.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

  • [Solved] 525

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) This exercise is a team project that will include in-class presentation **Course Name:** MBA 525- Organizational Behavior & Theories **Document Type:** Case Study-2 Performance Management & Motivation Factor i…

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    This exercise is a team project that will include in-class presentation

    **Course Name:** MBA 525- Organizational Behavior & Theories

    **Document Type:** Case Study-2 Performance Management & Motivation Factor in OB

    read the three different case study below and answer 6 questions in the bottom in 2-3 page and 10 powerpoint slides

    **General Electric (GE) Put an End to​ Forced Ranking per for Mance Management**

    Under the reign of its for­mer CEO, Jack Welsh, General Electric **was** the most well-known pro­po­nent of annu­al per­for­mance rat­ings and forced dis­tri­b­u­tion curves.

    For decades, GE operated a “ [rank and yankLinks to an external site.](https://qz.com/428813/ge-performance-review-strategy-shift)” system, where­by employees were appraised and rated once a year. Afterward, the bot­tom 10% were fired. Not exactly a recipe for employee engagement! Such an environment is a breeding ground for unhealthy competition, reduced teamwork, and employee burnout.

    In 2015, under CEO Jeff Immelt, GE announced it was replacing this approach with [feedbackLinks to an external site.](https://www.linkedin.com/pulse/how-ge-renews-performance-management-from-stack-ranking-steffen-maier) and reg­u­lar con­ver­sa­tions called​” [touch­pointsLinks to an external site.](https://hbr.org/2015/08/ges-real-time-performance-development)” to review progress against agreed near-term goals. This new approach was supported by an online and mobile app, similar to our own Clear Review [performance managementLinks to an external site.](https://www.clearreview.com/product), which enables employees to capture progress against their goals, give their peers feedback, and also request feedback.

    Managers will still have an annu­al sum­ma­ry with employees, looking back at the year and setting goals. But this conversation is more about standing back and discussing achievements and learnings, and much less fraught than annual reviews.

    **Cargill Intro­duced Coach­ing Con­ver­sa­tions in Place of Annu­al Appraisals**

    Like Adobe, Cargill, the US food pro­duc­er and dis­trib­u­tor, start­ed to trans­form its tra­di­tion­al per­for­mance man­age­ment process­es back in 2012, when it intro­duced ​“ [Every­day Per­for­mance Man­age­mentLinks to an external site.](https://www.gartner.com/smarterwithgartner)”.

    Cargill removed per­for­mance rat­ings and annu­al review forms and instead focused on man­agers hav­ing fre­quent, on-the-job con­ver­sa­tions and giv­ing reg­u­lar, con­struc­tive feed­back. They have made this work by:

    – Reg­u­lar­ly reward­ing and recognizing man­agers who demon­strate good day-to-day per­for­mance man­age­ment practices.
    – Shar­ing the expe­ri­ences and tips of their suc­cess­ful managers.
    – Hold­ing teams are account­able for practicing day-to-day per­for­mance management.
    – Build­ing the skills need­ed to suc­ceed at Every­day Per­for­mance Man­age­ment, includ­ing effec­tive two-way com­mu­ni­ca­tion, giv­ing feed­back, and coaching.

    The outcome has been impressive, with [employeesLinks to an external site.](https://books.google.co.uk/books?id=DVbKDQAAQBAJ&pg=PT403&lpg=PT403&dq=70%25+of+Cargill+employees+now+saying+they+feel+valued+as+a+result+of+their+ongoing+performance+discussions+with+their+manager&source=bl&ots=_o77Q5Xxm3&sig=Z9a8WIR23nLHK9D03ylcJaqCeTE&hl=en&sa=X&ved=0ahUKEwiYjqfo1aHSAhVKJsAKHYb0BIIQ6AEIJzAC#v=onepage&q=70%25%20of%20Cargill%20employees%20now%20saying%20they%20feel%20valued%20as%20a%20result%20of%20their%20ongoing%20performance%20discussions%20with%20their%20manager&f=false) now saying they feel valued as a result of their ongoing performance discussions with their manager.

    **Deloitte Saved 2 Mil­lion Work­ing Hours per Year with Week­ly Employ­ee Check-Ins**

    In 2015, [DeloitteLinks to an external site.](https://www2.deloitte.com/uk/en.html) was the first big name to announce it was scrap­ping once-a-year per­for­mance reviews, 360-degree feedback, and objec­tive cas­cad­ing. This change occurred after the com­pa­ny cal­cu­lat­ed these process­es were con­sum­ing remark­able [two mil­lion hours a yearLinks to an external site.](https://hbr.org/2015/04/reinventing-performance-management) across the organization.

    [Deloitte’s new per­for­mance man­age­ment processLinks to an external site.](https://hbr.org/2015/04/reinventing-performance-management) requires every team leader to check in with each team mem­ber once a week to dis­cuss near-term [SMART goalsLinks to an external site.](https://www.clearreview.com/resources/guides/get-employees-write-clear-motivational-smart-objectives) and pri­or­i­ties, com­ment on recent work and pro­vide coach­ing. The check-ins are initiated by the team members, rather than the team leaders to ensure these check-ins take place frequently. This also serves to give employees a sense of ownership over their work, role, and time.

    These week­ly employ­ee check-ins are sup­port­ed by quar­ter­ly reviews when team lead­ers are asked to respond to four future-focused statements about each team member. Rather than asking team leaders what they think of the team member — which is what tra­di­tion­al per­for­mance rat­ings do — they ask what the team leader would do with the team member.

    **Direction:**

    In at least 10 Slides in PowerPoint Word, conduct research and case analysis, and respond to the following questions: Using the information from the business cases above.

    1. What is performance management and why do so many businesses consider it an important element of their talent strategy?

    1. Using Equity theory as a framework, how do you think GE, Cargill & Deloitte, as agile organizations, apply this theory to increase employee performance?
    2. Based on what you read in the above cases, does employee satisfaction seem to lead to higher performance, or does higher performance lead to satisfaction? Explain
    3. Explain how GE, Deloitte & Cargill are fostering employee performance through Herzberg’s theory of motivation. Explain
    4. Discuss and explain the digital transformation methods and strategies utilized by the abovementioned companies.
    5. Discuss the Organizational Structure and how it might affect the success of the Digital Transformation: [Negatively, or Positively].

    You are required to cite at least three internal or external sources in your postings, formatted to APA standards.  Avoid citing sources from Wikis, Wikipedia, Dictionary.com, private company websites, and other non-academic references.

    Review APA standards: [https://owl.english.purdue.edu/owl/ (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.](https://owl.english.purdue.edu/owl)

    Important Note: **The following are the****requirements for your submission completion. In 2:3 pages, complete your case-study assignment as follows: APA style format with references and citation**

    1-Submit the section of the case study that was assigned to you as your role in the teamwork.

    2. Choose different PP slides from the ones used to present in -class.

    – a year ago

  • [Solved] dreams

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    Freud viewed dreams as the “royal road to the unconscious.” – Discuss a memorable dream from your childhood. Provide as much detail about the dream as possible. falling and falling and at impact I land like nothing happened post should be at least 500 words, formatted, and cited in current APA style…

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    Assignment Prompt & Instructions

    Freud viewed dreams as the “royal road to the unconscious.”

    – Discuss a memorable dream from your childhood.  Provide as much detail about the dream as possible.

    falling and falling and at impact I land like nothing happened

    post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

    – a year ago

  • [Solved] week 2 ass

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    **Assignment Overview:** 1. Read the Instructions for the Population Health Assessment & Prevention Project first. 2. Use the Community Assessment Project Template to complete the project. Your data must be typed directly into the blank template provided, NOT into the instructions. 3. This project i…

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    Assignment Prompt & Instructions

    **Assignment Overview:**

    1. Read the Instructions for the Population Health Assessment & Prevention Project first.
    2. Use the Community Assessment Project Template to complete the project. Your data must be typed directly into the blank template provided, NOT into the instructions.
    3. This project is divided into three parts for submission throughout the course. It is recommended to start on the project in week one and work steadily on this project to ensure timely completion.
    4. The three parts of this project total 45% of the course grade.

    **Be sure to follow the directions closely in each section**.

    **Instructions for** **Population Health Assessment & Prevention Project:**

    **Part 1: Windshield Survey (Unit 2)**

    First, select a part of your community to survey. Part of this project involves collecting county data, but for Part 1, you will choose a smaller area to survey. If selecting a large city, such as San Antonio, Cincinnati, or Tampa, you may narrow your initial survey for Part 1 down to a smaller section of the city. However, you might want to survey other parts of the city as well, to get a sense of the city as a whole and fit that neighborhood or population in its context.

    Sometimes, the best survey can be a combination of walking and driving. You might survey the whole city or area in a vehicle, then use a walking survey to look closely at the area you’re most interested in. You’ll see different things and more detail on foot; you’ll cover more ground and get a broader perspective from a vehicle. Also, consider how the time of day, weekday versus weekend, and the season will affect your survey. You will want to repeat your survey more than once to capture the differences between community conditions or activities at different times.

    As you assess each area consider the impact on the health of the community and potential community needs (intervention). For example:

    – The effect of the physical environment; contamination of air or water; safe sidewalks for walking; or the quality of housing and potential impact on health outcomes.
    – Consider the implications of reduced access to health care services, food, or emergency care.
    – Consider the implications of educational and work/economic opportunities.
    – Consider the impact of social determinants on health outcomes (for example: the relationship between older homes in the community and high rates of lead exposure in children under the age of 5).
    – Think about individual behavior, health beliefs/values or perspectives, and the effect on the implementation of health promotion and disease prevention strategies.
    – Observe where and when people “hang out” and their behavior. Are kids playing in the street due to the lack of parks/recreation facilities or are the parks/recreation areas unsafe (observe who is “hanging out” in the parks/recreational facilities)?

    **Tips to Keep in Mind:**

    – Make and use a checklist to ensure that you observe and address all the areas for the survey.
    – Try to be unobtrusive. Not only do people act differently when they know they’re being observed, but they may also become suspicious or hostile.
    – Take notes as you go along. (Do not take notes while driving). You may also want to take photos or videos with a camera or cell phone, to both remember and illustrate what you’ve seen. You can add a few of those to your report if you’d like. If you wait to take notes until after the survey is done, you may not remember everything clearly, or you may ignore important details.
    – Carry identification and be mindful  of safety. Don’t stay in an area if you feel unsafe.

    – [\
    \
    PopulationHealthAssessmentTemplatePartIGUIDE-1.pdf](https://www.sweetstudy.com/files/populationhealthassessmenttemplatepartiguide-1-pdf "PopulationHealthAssessmentTemplatePartIGUIDE-1.pdf")
    – [\
    \
    PopulationHealthAssessmentTemplatePartI-11.docx](https://www.sweetstudy.com/files/populationhealthassessmenttemplateparti-11-docx "PopulationHealthAssessmentTemplatePartI-11.docx")

    – a year ago

  • [Solved] human resource

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    – a year ago **files (3)** – ## PSY-470-RS-T4-JorgeCaseStudy.docx – AssignmentInstructions.PNG – PSY-470Rubric-CaseStudyPaperObj.4.1.pdf **## PSY-470-RS-T4-JorgeCaseStudy.docx** ![](https://www.sweetstudy.com/questions/assessment-20905177) ![](https://www.sweetstudy.com/questions/assessment-20905177…

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    **## PSY-470-RS-T4-JorgeCaseStudy.docx**

    ![](https://www.sweetstudy.com/questions/assessment-20905177)

    ![](https://www.sweetstudy.com/questions/assessment-20905177)

    **PSY-470 Topic 4 Case Study**

    You are a clinician working at a residential treatment center, treating people with substance use and addictive disorders. The receptionist hands you the intake paperwork prior to your interview with your new client, Jorge, and mentions that his son, Guillermo, has brought him in. Guillermo is very concerned about his father.

    Intake Paperwork

    Client Name:
    _Jorge_

    Age:
    _59 years old_

    Gender:
    _Male_

    Ethnicity:
    _Latino_

    Occupation:
    _Commercial pilot on medical leave_

    Current living situation:
    _Lives alone_

    Why are you seeking services at our clinic?
    _My son wants me to see you because he’s worried about my health. I don’t think I have a problem but to get him to stop bugging me I came._

    You will now ask Jorge and his son, Guillermo, typical intake interview questions. As you do so, think about Jorge’s symptoms, what his diagnosis might be, and what type of treatment would be most helpful for him.

    Clinician: “Hi, Jorge. It’s good to meet you. Guillermo, thank you for coming in with Jorge today. Today, I’m going to do what’s called an intake interview. I’m going to ask you why you’re here and some questions that I ask everyone who comes in. This will tell me how I can best help you. This may involve treatment at this facility or referring you to another mental health professional or facility. Let’s start. Tell me about why you came to the center today.”

    _Jorge: [defensively] My son, Guillermo, made me come. Don’t ask me why. I don’t have a problem with drugs or alcohol. Guillermo and his brother Mario just need to understand that I’m just a social drinker. I’m not an alcoholic._

    _Guillermo: I’ve been trying to convince my dad to seek treatment for his drinking problem for years. When he passed out and hit his head on the coffee table, he finally agreed. After he regained consciousness, he had a neighbor take him to the emergency room [incredulously]. He didn’t even call me! I had to find out from Mom, and they’ve been divorced for years. She said he didn’t even remember how he fell. He lives all by himself. That’s really scary._

    Clinician: “Jorge, is what Guillermo said true? Do you drink alcohol or use any substances? If so, how much and how often?”

    _Jorge: [indignantly] I certainly don’t use any street drugs if that’s what you mean! I don’t even smoke. I used to, but after I had a heart attack a couple of years ago… my doctors told me to quit, so I did cold turkey – no problem! I don’t have a drinking problem. I limit myself to a couple of drinks a day – and I don’t drink every night._

    _Guillermo: [sadly] Dad, you know that’s not true. [explaining to clinician] About two weeks ago, I spent a week with Dad when I was on leave from the Army. My dad used to be in the Air Force. He was my hero growing up. [sadly] Dad, you would start to drink in the middle of the afternoon, and by supper time, you would have finished off a six-pack of beer and started on another. [to clinician] I drink occasionally, but I could never hold my liquor like Dad. He can drink a six-pack and still seem sober! Then, after supper, he would pour himself a large glass of Jack Daniels on the rocks. Every night, he would have at least three glasses before he fell asleep on the couch. If I drank half that much, I’d be sick with a hangover the next day, but Dad never seemed to get a hangover._

    Clinician: “Jorge, what do you make of what Guillermo is saying? What do you really think about your drinking habits?”

    _Jorge: [irritated] So I drank a little more when he was staying with me; I tend to do that when I have company. But he’s right; I never have a hangover! To me, that means I don’t have a drinking problem._

    _Guillermo: [clearly upset] Don’t have a drinking problem! Dad! You don’t even remember what we did last night. [to clinician] he said he couldn’t remember what we ate for dinner or what movie we watched. Then he got all upset, wondering if he had Alzheimer’s or something. I think that something is his drinking problem._

    Clinician: “Jorge, do you feel like your drinking is affecting your life in any way?”

    _Jorge: [exasperated, speaking slowly as if to explain to a child] I have been trying to explain to you that it is not. The only reason I’m here is because Guillermo is worried because I fell. He’s afraid I’ll die … [more quickly] Not gonna happen._

    _Guillermo: Dad, this is about more than your fall. Alcohol has been messing up your life for a while now. When I was visiting, I was doing work on your desk after you passed out and found your FAA medical files … [hastily, defensively] Now don’t get upset; I wasn’t snooping … you left the file on your desk… I read the notes from your last physical; the doctor said you_
    _**lied** to him about how much you drink. The FAA doctor wrote “Alcohol related” with a question mark next to your complaints about your memory loss. [louder] Alcohol is preventing you from flying again and it’s destroying your health. In spite of all the great things you’ve done since your heart attack: taking cholesterol medication, exercising, eating more vegetables and fish, you’re gaining weight. That’s because you’re drinking about 1,500 calories a day in alcohol! Mario and I are worried about you. We don’t want to lose you, Dad._

    Clinician: “Jorge, what do you think about what Guillermo is saying? What happened that made you come here to the clinic?”

    _Jorge: I don’t know why Guillermo is so worried. I’m fine [pauses] … except for what happened the other week. I woke up on the floor and didn’t know how I got there. I couldn’t get up… I thought I’d had another heart attack. Fortunately, my phone was on the floor, so I called Bobby next door. Bobby said I probably passed out from drinking. He had no idea, didn’t know what he was talking about. Still, I didn’t drink for two days after Guillermo left to go back to the Air Force. [triumphant] See…I can stop if I want to! [hesitates, slightly embarrassed] But then … there was nothing on TV and I was feeling a little down, so I drank some beer. [defensive] I only had one six-pack! Well … maybe part of another one, too. [sounding annoyed again] The ER doc asked me about my drinking, implying that I had a problem. And my regular doctor won’t stop bugging me about my drinking, either. So, I came here to appease them … well … mostly to appease my sons. One of my buddies came here and said this place is a cake walk if I tell you what you want to hear – [pleasantly] no offense, doctor. But I really don’t think I need to be here. And if the FAA found out, well – let’s just say I’m doing this on my own dime because I love my boys._

    _Guillermo: [to his father] I’m worried because I care. I’m glad you’re here. I just wish you would have signed up for the standard 14 days instead of only agreeing to a week, Dad!_

    Clinician: “Well, before we talk about the length of your stay, Jorge, let’s explore the issue a little more first. When did you first start drinking?”

    _Jorge: [trying to remember] Hmm… Well, I didn’t drink at all when I was young. My mom and stepdad were Mormons, so they never drank. I started drinking the summer before I started college when I tracked down my biological dad, who had left before I was born. He’d remarried and was working as a janitor. [ashamed and sad] My dad never amounted to much, but he and his wife were happy. I spent three weeks with them, and we had beer and long talks every night after dinner. I realized I liked the taste of beer, and I also got a taste for the “hard stuff” with my dad. It relaxed me and made me feel less self-conscious. [reminiscing] I had a great time that summer. That’s when I began to enjoy drinking._

    Clinician: “What happened after that, Jorge?”

    _Jorge: I started college, and I kept in touch with my dad by writing letters for a while …[laughs] This was before email and texting stuff. But I guess we both got busy, and I didn’t get to see him again before… he – he passed away of a heart attack about a year later… [slight pause] I went to a state university and joined a fraternity. You know how it is in a fraternity– we drank a lot. I could drink anyone under the table and still be standing. And that made me popular. [with pride]_

    Clinician: “Guillermo mentioned earlier that you were in the Air Force at some point. Thank you for your service to our country. When did you serve, Jorge? Was it after college?”

    _Jorge: I always wanted to be a fighter pilot. After I graduated from college, I applied for the Air Force and was accepted to pilot training. I made some really good friends – those were the days! We worked hard all week, then we partied at the local watering hole on the weekend nights. We would all start drinking around happy hour, have some sandwiches at the bar, flirt with some girls who came looking for guys in uniform, and finish the night with cognac and black coffee. I could still drink anyone under the table and be fine Saturday or Sunday morning. I served 8 years with an honorable discharge, and then got a job as a commercial pilot, the same job I hope to get back to soon if I can get my health back in shape!_

    _Guillermo: [under his breath] If you can’t get your drinking under control, you won’t_ _be able to fly again._

    Clinician: “What’s your relationship like with your family, Jorge?”

    _Jorge: Eh. Don’t really need them hovering around all the time when I have the best friend a man can have – Jack. [laughs]… [adds]…as in Daniels… Just kidding. But my sons are good kids; they look out for me. I met their mom when I was in pilot training. We didn’t see much of each other after we got married because I was deployed so often in the Air Force, and she wanted to stay near her parents. When I became a commercial pilot, I only flew 10 or 12 days a month, so I had plenty of time to relax at home. [a little angrily] But she didn’t like that. She complained I drank too much and nagged me all the time. We got divorced after a few years of that… Found myself a nice condo. Hung out with pilot buddies, had some fun – if you know what I mean – with some flight attendants. Never did get married again. Never saw the need. I just enjoyed myself, until my sons got all worried about it. My doctor thinks my drinking caused my heart attack – ridiculous!_

    _Guillermo: [sadly] I remember listening to you and mom fight every night when I was growing up. It was really hard. It was almost a relief when you got divorced and moved out, Dad. But then I missed you… [choking up a little] I love you, Dad. I want you to get better. I want you to be able to get off medical leave and get cleared for flying so that we can fly cross-country together. But I don’t see that happening if you don’t commit yourself to getting help for your drinking._

    © 2023. Grand Canyon University. All Rights Reserved.

    © 2023. Grand Canyon University. All Rights Reserved.

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    **## PSY-470-RS-T4-JorgeCaseStudy.docx**

    ![](https://www.sweetstudy.com/questions/assessment-20905177)

    ![](https://www.sweetstudy.com/questions/assessment-20905177)

    **PSY-470 Topic 4 Case Study**

    You are a clinician working at a residential treatment center, treating people with substance use and addictive disorders. The receptionist hands you the intake paperwork prior to your interview with your new client, Jorge, and mentions that his son, Guillermo, has brought him in. Guillermo is very concerned about his father.

    Intake Paperwork

    Client Name:
    _Jorge_

    Age:
    _59 years old_

    Gender:
    _Male_

    Ethnicity:
    _Latino_

    Occupation:
    _Commercial pilot on medical leave_

    Current living situation:
    _Lives alone_

    Why are you seeking services at our clinic?
    _My son wants me to see you because he’s worried about my health. I don’t think I have a problem but to get him to stop bugging me I came._

    You will now ask Jorge and his son, Guillermo, typical intake interview questions. As you do so, think about Jorge’s symptoms, what his diagnosis might be, and what type of treatment would be most helpful for him.

    Clinician: “Hi, Jorge. It’s good to meet you. Guillermo, thank you for coming in with Jorge today. Today, I’m going to do what’s called an intake interview. I’m going to ask you why you’re here and some questions that I ask everyone who comes in. This will tell me how I can best help you. This may involve treatment at this facility or referring you to another mental health professional or facility. Let’s start. Tell me about why you came to the center today.”

    _Jorge: [defensively] My son, Guillermo, made me come. Don’t ask me why. I don’t have a problem with drugs or alcohol. Guillermo and his brother Mario just need to understand that I’m just a social drinker. I’m not an alcoholic._

    _Guillermo: I’ve been trying to convince my dad to seek treatment for his drinking problem for years. When he passed out and hit his head on the coffee table, he finally agreed. After he regained consciousness, he had a neighbor take him to the emergency room [incredulously]. He didn’t even call me! I had to find out from Mom, and they’ve been divorced for years. She said he didn’t even remember how he fell. He lives all by himself. That’s really scary._

    Clinician: “Jorge, is what Guillermo said true? Do you drink alcohol or use any substances? If so, how much and how often?”

    _Jorge: [indignantly] I certainly don’t use any street drugs if that’s what you mean! I don’t even smoke. I used to, but after I had a heart attack a couple of years ago… my doctors told me to quit, so I did cold turkey – no problem! I don’t have a drinking problem. I limit myself to a couple of drinks a day – and I don’t drink every night._

    _Guillermo: [sadly] Dad, you know that’s not true. [explaining to clinician] About two weeks ago, I spent a week with Dad when I was on leave from the Army. My dad used to be in the Air Force. He was my hero growing up. [sadly] Dad, you would start to drink in the middle of the afternoon, and by supper time, you would have finished off a six-pack of beer and started on another. [to clinician] I drink occasionally, but I could never hold my liquor like Dad. He can drink a six-pack and still seem sober! Then, after supper, he would pour himself a large glass of Jack Daniels on the rocks. Every night, he would have at least three glasses before he fell asleep on the couch. If I drank half that much, I’d be sick with a hangover the next day, but Dad never seemed to get a hangover._

    Clinician: “Jorge, what do you make of what Guillermo is saying? What do you really think about your drinking habits?”

    _Jorge: [irritated] So I drank a little more when he was staying with me; I tend to do that when I have company. But he’s right; I never have a hangover! To me, that means I don’t have a drinking problem._

    _Guillermo: [clearly upset] Don’t have a drinking problem! Dad! You don’t even remember what we did last night. [to clinician] he said he couldn’t remember what we ate for dinner or what movie we watched. Then he got all upset, wondering if he had Alzheimer’s or something. I think that something is his drinking problem._

    Clinician: “Jorge, do you feel like your drinking is affecting your life in any way?”

    _Jorge: [exasperated, speaking slowly as if to explain to a child] I have been trying to explain to you that it is not. The only reason I’m here is because Guillermo is worried because I fell. He’s afraid I’ll die … [more quickly] Not gonna happen._

    _Guillermo: Dad, this is about more than your fall. Alcohol has been messing up your life for a while now. When I was visiting, I was doing work on your desk after you passed out and found your FAA medical files … [hastily, defensively] Now don’t get upset; I wasn’t snooping … you left the file on your desk… I read the notes from your last physical; the doctor said you_
    _**lied** to him about how much you drink. The FAA doctor wrote “Alcohol related” with a question mark next to your complaints about your memory loss. [louder] Alcohol is preventing you from flying again and it’s destroying your health. In spite of all the great things you’ve done since your heart attack: taking cholesterol medication, exercising, eating more vegetables and fish, you’re gaining weight. That’s because you’re drinking about 1,500 calories a day in alcohol! Mario and I are worried about you. We don’t want to lose you, Dad._

    Clinician: “Jorge, what do you think about what Guillermo is saying? What happened that made you come here to the clinic?”

    _Jorge: I don’t know why Guillermo is so worried. I’m fine [pauses] … except for what happened the other week. I woke up on the floor and didn’t know how I got there. I couldn’t get up… I thought I’d had another heart attack. Fortunately, my phone was on the floor, so I called Bobby next door. Bobby said I probably passed out from drinking. He had no idea, didn’t know what he was talking about. Still, I didn’t drink for two days after Guillermo left to go back to the Air Force. [triumphant] See…I can stop if I want to! [hesitates, slightly embarrassed] But then … there was nothing on TV and I was feeling a little down, so I drank some beer. [defensive] I only had one six-pack! Well … maybe part of another one, too. [sounding annoyed again] The ER doc asked me about my drinking, implying that I had a problem. And my regular doctor won’t stop bugging me about my drinking, either. So, I came here to appease them … well … mostly to appease my sons. One of my buddies came here and said this place is a cake walk if I tell you what you want to hear – [pleasantly] no offense, doctor. But I really don’t think I need to be here. And if the FAA found out, well – let’s just say I’m doing this on my own dime because I love my boys._

    _Guillermo: [to his father] I’m worried because I care. I’m glad you’re here. I just wish you would have signed up for the standard 14 days instead of only agreeing to a week, Dad!_

    Clinician: “Well, before we talk about the length of your stay, Jorge, let’s explore the issue a little more first. When did you first start drinking?”

    _Jorge: [trying to remember] Hmm… Well, I didn’t drink at all when I was young. My mom and stepdad were Mormons, so they never drank. I started drinking the summer before I started college when I tracked down my biological dad, who had left before I was born. He’d remarried and was working as a janitor. [ashamed and sad] My dad never amounted to much, but he and his wife were happy. I spent three weeks with them, and we had beer and long talks every night after dinner. I realized I liked the taste of beer, and I also got a taste for the “hard stuff” with my dad. It relaxed me and made me feel less self-conscious. [reminiscing] I had a great time that summer. That’s when I began to enjoy drinking._

    Clinician: “What happened after that, Jorge?”

    _Jorge: I started college, and I kept in touch with my dad by writing letters for a while …[laughs] This was before email and texting stuff. But I guess we both got busy, and I didn’t get to see him again before… he – he passed away of a heart attack about a year later… [slight pause] I went to a state university and joined a fraternity. You know how it is in a fraternity– we drank a lot. I could drink anyone under the table and still be standing. And that made me popular. [with pride]_

    Clinician: “Guillermo mentioned earlier that you were in the Air Force at some point. Thank you for your service to our country. When did you serve, Jorge? Was it after college?”

    _Jorge: I always wanted to be a fighter pilot. After I graduated from college, I applied for the Air Force and was accepted to pilot training. I made some really good friends – those were the days! We worked hard all week, then we partied at the local watering hole on the weekend nights. We would all start drinking around happy hour, have some sandwiches at the bar, flirt with some girls who came looking for guys in uniform, and finish the night with cognac and black coffee. I could still drink anyone under the table and be fine Saturday or Sunday morning. I served 8 years with an honorable discharge, and then got a job as a commercial pilot, the same job I hope to get back to soon if I can get my health back in shape!_

    _Guillermo: [under his breath] If you can’t get your drinking under control, you won’t_ _be able to fly again._

    Clinician: “What’s your relationship like with your family, Jorge?”

    _Jorge: Eh. Don’t really need them hovering around all the time when I have the best friend a man can have – Jack. [laughs]… [adds]…as in Daniels… Just kidding. But my sons are good kids; they look out for me. I met their mom when I was in pilot training. We didn’t see much of each other after we got married because I was deployed so often in the Air Force, and she wanted to stay near her parents. When I became a commercial pilot, I only flew 10 or 12 days a month, so I had plenty of time to relax at home. [a little angrily] But she didn’t like that. She complained I drank too much and nagged me all the time. We got divorced after a few years of that… Found myself a nice condo. Hung out with pilot buddies, had some fun – if you know what I mean – with some flight attendants. Never did get married again. Never saw the need. I just enjoyed myself, until my sons got all worried about it. My doctor thinks my drinking caused my heart attack – ridiculous!_

    _Guillermo: [sadly] I remember listening to you and mom fight every night when I was growing up. It was really hard. It was almost a relief when you got divorced and moved out, Dad. But then I missed you… [choking up a little] I love you, Dad. I want you to get better. I want you to be able to get off medical leave and get cleared for flying so that we can fly cross-country together. But I don’t see that happening if you don’t commit yourself to getting help for your drinking._

    © 2023. Grand Canyon University. All Rights Reserved.

    © 2023. Grand Canyon University. All Rights Reserved.

    ## image1.jpeg

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    **## PSY-470-RS-T4-JorgeCaseStudy.docx**

    ![](https://www.sweetstudy.com/questions/assessment-20905177)

    ![](https://www.sweetstudy.com/questions/assessment-20905177)

    **PSY-470 Topic 4 Case Study**

    You are a clinician working at a residential treatment center, treating people with substance use and addictive disorders. The receptionist hands you the intake paperwork prior to your interview with your new client, Jorge, and mentions that his son, Guillermo, has brought him in. Guillermo is very concerned about his father.

    Intake Paperwork

    Client Name:
    _Jorge_

    Age:
    _59 years old_

    Gender:
    _Male_

    Ethnicity:
    _Latino_

    Occupation:
    _Commercial pilot on medical leave_

    Current living situation:
    _Lives alone_

    Why are you seeking services at our clinic?
    _My son wants me to see you because he’s worried about my health. I don’t think I have a problem but to get him to stop bugging me I came._

    You will now ask Jorge and his son, Guillermo, typical intake interview questions. As you do so, think about Jorge’s symptoms, what his diagnosis might be, and what type of treatment would be most helpful for him.

    Clinician: “Hi, Jorge. It’s good to meet you. Guillermo, thank you for coming in with Jorge today. Today, I’m going to do what’s called an intake interview. I’m going to ask you why you’re here and some questions that I ask everyone who comes in. This will tell me how I can best help you. This may involve treatment at this facility or referring you to another mental health professional or facility. Let’s start. Tell me about why you came to the center today.”

    _Jorge: [defensively] My son, Guillermo, made me come. Don’t ask me why. I don’t have a problem with drugs or alcohol. Guillermo and his brother Mario just need to understand that I’m just a social drinker. I’m not an alcoholic._

    _Guillermo: I’ve been trying to convince my dad to seek treatment for his drinking problem for years. When he passed out and hit his head on the coffee table, he finally agreed. After he regained consciousness, he had a neighbor take him to the emergency room [incredulously]. He didn’t even call me! I had to find out from Mom, and they’ve been divorced for years. She said he didn’t even remember how he fell. He lives all by himself. That’s really scary._

    Clinician: “Jorge, is what Guillermo said true? Do you drink alcohol or use any substances? If so, how much and how often?”

    _Jorge: [indignantly] I certainly don’t use any street drugs if that’s what you mean! I don’t even smoke. I used to, but after I had a heart attack a couple of years ago… my doctors told me to quit, so I did cold turkey – no problem! I don’t have a drinking problem. I limit myself to a couple of drinks a day – and I don’t drink every night._

    _Guillermo: [sadly] Dad, you know that’s not true. [explaining to clinician] About two weeks ago, I spent a week with Dad when I was on leave from the Army. My dad used to be in the Air Force. He was my hero growing up. [sadly] Dad, you would start to drink in the middle of the afternoon, and by supper time, you would have finished off a six-pack of beer and started on another. [to clinician] I drink occasionally, but I could never hold my liquor like Dad. He can drink a six-pack and still seem sober! Then, after supper, he would pour himself a large glass of Jack Daniels on the rocks. Every night, he would have at least three glasses before he fell asleep on the couch. If I drank half that much, I’d be sick with a hangover the next day, but Dad never seemed to get a hangover._

    Clinician: “Jorge, what do you make of what Guillermo is saying? What do you really think about your drinking habits?”

    _Jorge: [irritated] So I drank a little more when he was staying with me; I tend to do that when I have company. But he’s right; I never have a hangover! To me, that means I don’t have a drinking problem._

    _Guillermo: [clearly upset] Don’t have a drinking problem! Dad! You don’t even remember what we did last night. [to clinician] he said he couldn’t remember what we ate for dinner or what movie we watched. Then he got all upset, wondering if he had Alzheimer’s or something. I think that something is his drinking problem._

    Clinician: “Jorge, do you feel like your drinking is affecting your life in any way?”

    _Jorge: [exasperated, speaking slowly as if to explain to a child] I have been trying to explain to you that it is not. The only reason I’m here is because Guillermo is worried because I fell. He’s afraid I’ll die … [more quickly] Not gonna happen._

    _Guillermo: Dad, this is about more than your fall. Alcohol has been messing up your life for a while now. When I was visiting, I was doing work on your desk after you passed out and found your FAA medical files … [hastily, defensively] Now don’t get upset; I wasn’t snooping … you left the file on your desk… I read the notes from your last physical; the doctor said you_
    _**lied** to him about how much you drink. The FAA doctor wrote “Alcohol related” with a question mark next to your complaints about your memory loss. [louder] Alcohol is preventing you from flying again and it’s destroying your health. In spite of all the great things you’ve done since your heart attack: taking cholesterol medication, exercising, eating more vegetables and fish, you’re gaining weight. That’s because you’re drinking about 1,500 calories a day in alcohol! Mario and I are worried about you. We don’t want to lose you, Dad._

    Clinician: “Jorge, what do you think about what Guillermo is saying? What happened that made you come here to the clinic?”

    _Jorge: I don’t know why Guillermo is so worried. I’m fine [pauses] … except for what happened the other week. I woke up on the floor and didn’t know how I got there. I couldn’t get up… I thought I’d had another heart attack. Fortunately, my phone was on the floor, so I called Bobby next door. Bobby said I probably passed out from drinking. He had no idea, didn’t know what he was talking about. Still, I didn’t drink for two days after Guillermo left to go back to the Air Force. [triumphant] See…I can stop if I want to! [hesitates, slightly embarrassed] But then … there was nothing on TV and I was feeling a little down, so I drank some beer. [defensive] I only had one six-pack! Well … maybe part of another one, too. [sounding annoyed again] The ER doc asked me about my drinking, implying that I had a problem. And my regular doctor won’t stop bugging me about my drinking, either. So, I came here to appease them … well … mostly to appease my sons. One of my buddies came here and said this place is a cake walk if I tell you what you want to hear – [pleasantly] no offense, doctor. But I really don’t think I need to be here. And if the FAA found out, well – let’s just say I’m doing this on my own dime because I love my boys._

    _Guillermo: [to his father] I’m worried because I care. I’m glad you’re here. I just wish you would have signed up for the standard 14 days instead of only agreeing to a week, Dad!_

    Clinician: “Well, before we talk about the length of your stay, Jorge, let’s explore the issue a little more first. When did you first start drinking?”

    _Jorge: [trying to remember] Hmm… Well, I didn’t drink at all when I was young. My mom and stepdad were Mormons, so they never drank. I started drinking the summer before I started college when I tracked down my biological dad, who had left before I was born. He’d remarried and was working as a janitor. [ashamed and sad] My dad never amounted to much, but he and his wife were happy. I spent three weeks with them, and we had beer and long talks every night after dinner. I realized I liked the taste of beer, and I also got a taste for the “hard stuff” with my dad. It relaxed me and made me feel less self-conscious. [reminiscing] I had a great time that summer. That’s when I began to enjoy drinking._

    Clinician: “What happened after that, Jorge?”

    _Jorge: I started college, and I kept in touch with my dad by writing letters for a while …[laughs] This was before email and texting stuff. But I guess we both got busy, and I didn’t get to see him again before… he – he passed away of a heart attack about a year later… [slight pause] I went to a state university and joined a fraternity. You know how it is in a fraternity– we drank a lot. I could drink anyone under the table and still be standing. And that made me popular. [with pride]_

    Clinician: “Guillermo mentioned earlier that you were in the Air Force at some point. Thank you for your service to our country. When did you serve, Jorge? Was it after college?”

    _Jorge: I always wanted to be a fighter pilot. After I graduated from college, I applied for the Air Force and was accepted to pilot training. I made some really good friends – those were the days! We worked hard all week, then we partied at the local watering hole on the weekend nights. We would all start drinking around happy hour, have some sandwiches at the bar, flirt with some girls who came looking for guys in uniform, and finish the night with cognac and black coffee. I could still drink anyone under the table and be fine Saturday or Sunday morning. I served 8 years with an honorable discharge, and then got a job as a commercial pilot, the same job I hope to get back to soon if I can get my health back in shape!_

    _Guillermo: [under his breath] If you can’t get your drinking under control, you won’t_ _be able to fly again._

    Clinician: “What’s your relationship like with your family, Jorge?”

    _Jorge: Eh. Don’t really need them hovering around all the time when I have the best friend a man can have – Jack. [laughs]… [adds]…as in Daniels… Just kidding. But my sons are good kids; they look out for me. I met their mom when I was in pilot training. We didn’t see much of each other after we got married because I was deployed so often in the Air Force, and she wanted to stay near her parents. When I became a commercial pilot, I only flew 10 or 12 days a month, so I had plenty of time to relax at home. [a little angrily] But she didn’t like that. She complained I drank too much and nagged me all the time. We got divorced after a few years of that… Found myself a nice condo. Hung out with pilot buddies, had some fun – if you know what I mean – with some flight attendants. Never did get married again. Never saw the need. I just enjoyed myself, until my sons got all worried about it. My doctor thinks my drinking caused my heart attack – ridiculous!_

    _Guillermo: [sadly] I remember listening to you and mom fight every night when I was growing up. It was really hard. It was almost a relief when you got divorced and moved out, Dad. But then I missed you… [choking up a little] I love you, Dad. I want you to get better. I want you to be able to get off medical leave and get cleared for flying so that we can fly cross-country together. But I don’t see that happening if you don’t commit yourself to getting help for your drinking._

    © 2023. Grand Canyon University. All Rights Reserved.

    © 2023. Grand Canyon University. All Rights Reserved.

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    ### Summative Assessment

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    ### Summative Assessment

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