If a House subcommittee wants to edit a proposed bill, what…
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If а Hоuse subcоmmittee wаnts tо edit а proposed bill, what should they do?
Cаse study pаrt 1 Jоhn, аge 17, was admitted tо the child psychiatric unit thrоugh the hospital emergency department three weeks ago. His mother brought him to the hospital because she was concerned about his weight loss and verbal refusal to eat because he believed that his food was poisoned. The psychiatry report indicates auditory hallucinations and agitated behaviour. During his hospital stay, John was diagnosed with acute psychosis, paranoid type. During his three-week hospital stay, John was followed by the health care team which included professionals in psychiatry, social work, nutrition and nursing. As an occupational therapist practicing on the unit, you receive a referral to see John after his medication has stabilized his condition. The plan is to prepare John to be discharged home in the next few weeks. Information in the client record: Psychiatry report indicates auditory hallucinations and agitated behaviour Diagnosed with acute psychosis, paranoid type John recently lost 10 kg (22 pounds) because he believed that his food was being poisoned. John does not have suicidal ideations and has not verbalized an intent to harm others. However, he recently stated that he feels panicked around people. John lives at home with his mother who works full-time. He attends a Catholic high school and identifies himself as a Catholic. John's mother indicated that John was independent with self-care but has not managed meal preparation in the past few months. He has refused to take a lunch to school or eat breakfast. John was active in the local hockey league but has not played hockey in the past month. John is withdrawn and doesn’t participate in many social activities. John is not currently interested in seeing his friends and is concerned about what his friends will think about him if they know his diagnosis. John was attending high school and had failed three courses in the past term. His mother was not aware he failed the courses. In the past, John liked school and was an excellent student with good grades and planned to attend university. There is no prior illegal drug or alcohol use. John's school is supportive to students with special learning needs, and a school guidance counsellor and special education teacher are available. There are opportunities to modify classes and the classroom environment; for example, special education classes and a resource room. John is aware of his need for hospitalization and treatment, and is orientated to person, place and time. Self-Study Exercise for Part 2 Instructions: Read the additional case information below and, 1. Identify the relevant assessment data that is presented in the case study. 2. Identify the client's occupational performance issues. 3. Determine the services you would recommend for this client. You are provided 30 minutes to complete this self-study exercise. Following this, the assessor will take you through a series of oral questions related to the case. Case study part 2 As an occupational therapist you conducted your initial assessment and determined: John's paranoid behaviours have diminished with medication use. John stated that he is feeling better. He no longer hears voices and is eating regularly. John reported that he is usually very independent with his schoolwork and getting to his hockey games by himself. John stated that he has “lost interest in school and seeing his friends” and that his “energy level is really low." Concentration remains a challenge, and John has not completed any schoolwork since being hospitalized. John verbalized his concerns about returning to school as he is “too far behind the class work” and "doesn't want anyone to know why he was hospitalized." John expressed disappointment in not meeting his mother’s expectations of completing his household chores such as washing dishes and preparing meals and completing homework. John really wants to attend university and is interested in continuing to play hockey. John and his mother have a close relationship. His mother attends his hockey games when she isn’t working.