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Generalized Anxiety Disorder
Middle-Aged White Male With Anxiety

BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

RESOURCES

§ Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

Decision Point One

Select what you should do:

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Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Resources within your text covering international/global health, and the websites in the topic Resources, will assist you in answering this discussion question.

• Title Slide: Name of Project, Student Name(s), Course Name/Number, Date [1 slide]
• Roadmap (what will you cover in this presentation?) [ 1 slide]
• Compelling introduction/question/quote that grabs the audience attention [1 slide]
• What?: Introduce the public health issue and describe the issue that you are trying to change/impact [ 1- 2 slides]
• So what?: Explain why you care about this issue and why the audience should care about the issue [ 1-2 slides]
• Now what?: Present your advocacy initiative/idea and key elements of the action plan [3-6 slides]
• Provide the call(s) to action [1-2 slides]

Slide 1: Title Slide

• Title: “Addressing Childhood Obesity”
• Student Name(s): [Your Name(s)]
• Course Name/Number: [Course Name/Number]
• Date: [Presentation Date]

Slide 2: Roadmap

• Title: “Roadmap”
• Briefly outline what you will cover in this presentation.

Slide 3: Compelling Introduction

• Title: “Why Childhood Obesity Matters”
• Use an attention-grabbing quote, question, or statistic to engage the audience. For example: “Did you know that nearly 340 million children and adolescents were overweight or obese in 2016? This alarming statistic is why we’re here today.”

Slide 4: What? – Introduction to Childhood Obesity

• Title: “Understanding Childhood Obesity”
• Describe childhood obesity as a public health issue.
• Highlight the significance of the problem with statistics and facts.
• Consider using visuals to illustrate the issue.

Slide 5: What? – Consequences of Childhood Obesity

• Title: “The Consequences”
• Explain the physical and long-term health consequences of childhood obesity.
• Use images or graphics to visualize the impact.

Slide 6: So What? – Why You Care

• Title: “Why I Care”
• Share your personal motivation for addressing childhood obesity.
• Describe your passion for this cause.

Slide 7: So What? – Why the Audience Should Care

• Title: “Why You Should Care”
• Convince the audience of the broader implications and importance of tackling childhood obesity.
• Mention the potential societal and economic benefits.

Slide 8: Now What? – Advocacy Initiative Overview

• Title: “Our Advocacy Initiative”
• Provide an overview of your campaign or initiative to combat childhood obesity.
• Highlight the goals and objectives.

Slide 9: Now What? – Key Elements of Action Plan

• Title: “Action Plan Essentials”
• Outline the key components of your action plan, such as education, awareness, and policy changes.
• Use bullet points for clarity.

Slides 10-14 (or more): Now What? – Action Plan Details

• Title each slide with specific action plan elements.
• Delve deeper into the details of your action plan, explaining each step or component.
• Include any research or data supporting your plan.

Slide 15: Call to Action

• Title: “Join Our Movement”
• Provide a clear and compelling call to action for the audience.
• Explain how they can support your initiative, whether through volunteering, donations, or spreading awareness.

Slide 16: Conclusion

• Title: “Together, We Can Make a Difference”
• Summarize the key points of your presentation.
• Reiterate the importance of addressing childhood obesity.

Slide 17: Questions

• Title: “Questions?”
• Open the floor for any questions or comments from the audience.

Ensure that your presentation is visually appealing, uses appropriate fonts and visuals, and keeps text concise for an engaging and impactful delivery. Feel free to add relevant images, graphs, and statistics where they enhance your message.

Give an example of a program at “Adventist healthcare white oak medical center” that was planned to meet the needs of the population they serve. Share the organization’s evaluation of effectiveness (if data is available). Provide three scientific citation in APA