- May 2023
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In the Fill in the Missing Words, answers can be marked incorrect if the words are not capitalized (gravis vs Gravis). Could be disappointing to students.
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Misspelling of the word 'first' in the tricyclic question after the flashcards.
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Healthy People 2030
Please consider putting a link to this site here. The diagrams and written info is great and promotes understanding of SDOH
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cultural
Cultural competence is falling out of favor and being replaced with cultural humility. We can never be culturally competent.
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I found the link to be working.
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Nice critical thinking activities
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Gabapentin
Also becoming frequently used in substance withdrawal.
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Concur with Nancy. Weight gain is a major reason patients stop these medications on their own.
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Patient Teaching & Education:
Consider adding that patients need to get labs drawn as scheduled and maintain a consistent intake of salt.
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Links work.
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Patient Teaching & Education:
May want to add that patients should be told to avoid serotonin enhancing complementary health products like St. John's Wort.
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Blood Pressure and Heart Rate Increases:
Teach patients, especially those with histories of HTN to avoid phenylephrine and pseudoephedrine products (cold and allergy OTC meds) while taking methylphenidate until they talk with their prescribers.
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- Apr 2023
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GABA
GABA was only mentioned briefly in Section 8.2. You might consider adding one sentence here as to what GABA's role in the CNS is.
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Depressants
You have probably discussed in great detail what meds to include in this section, but would you consider adding hydroxyzine? This has become a mainstay in psychiatric settings for anxiety since it is non-addicting and is safe in youth as well as adults.
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Figure 8.6
The Figure is confusing in that it is portraying ADHD as a right brain/left brain disturbance.
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Distracted
Change to 'distraction' to keep it grammatically similar to the rest of the list.
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Bipolar
Again, consider changing this to the more correct terminology of 'Bipolar Disorder'.
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Depression
May want to consider renaming this Major Depressive Disorder in order to differentiate it from depression as a symptom, which occurs in many disorders.
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Good general overview. Links are functional. The Open Stax links are a good addtion for that student who wants to go deeper and/or has a patient with a neurological disorder.
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Concur with Nancy. The learning activities are an excellent addition to difficult content.
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Propranolol
Propranolol is also used frequently for the management of panic associated with panic disorder and PTSD.
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It is a link to LibreText but it took me right to the Bowtie.
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Links are functional
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The links are functional
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linked
The links are all functional
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videos
The video links work and the content is very helpful.
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hyperlinks
All hyperlinks in Section 4.2 work.
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The first Interactive Activity seems to occur too early in the chapter. The content needed to complete the Activity is currently AFTER the Activity, making it hard to answer correctly.
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- Jun 2022
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Lithium reduces excitatory neurotransmission (dopamine and glutamate) and increases inhibitory neurotransmission (GABA). It also alters sodium transport in nerve and muscle cells and causes a shift in metabolism of catecholamines.
See page note
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A little awkward. Maybe "...increases inhibitory neurotransmission (GABA) by altering sodium transport in nerve and muscle cells modulating metabolism of catecholamines."
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They may be used to treat seizures, migraines, and chronic pain.
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there are probably boundaries being breached
Awkward sentence. Breached sounds severe. Maybe re-phrase to "you may want to consider whether boundaries were crossed or violated."
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Card number 8 could also apply to binge eating
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Nice case study
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food they consume
As well as fasting and excessive exercise.
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restrictive and a binge-purge
Correct terminology is Restricting type and Binge-eating/purging type.
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I cannot get the drag and drop to work for the third question on ADHD.
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[13]
I am not seeing this information in the link provided. It takes me to a page called Family Dynamics on StatPearls
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Poor academic performance
YES! This is often the first clue for parents.
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image
As with ADHD, I am not sure the image enhances the concept.
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Anxiety disorders
Group therapy is appropriate for almost all disorders.
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symptoms are rare.
THANK YOU for this sentence.
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intellectual disability
You may want to include an example, such as Down Syndrome.
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a conduct ODD
Double check your wording - this is confusing.
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Information
CHADD has local support groups for parents and patients.
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strategies
Another key strategy for parents is to have clear, regular communications with teachers.
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struggling
I concur with cpfive that the image does not add anything.
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You may want to consider a brief explanation of metabolic syndrome since wieght gain is a frequent cause for discontinuing medication.
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I can't find the citation for this table.
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You may want to include major depression here. Low dose antipsychotics are often used as adjuncts to antidepressants so students will frequently see this combo in many settings.
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You may want to consider adding that patients take supplements that may increase risk for serotonin syndrome, such as St. Johns Wort. Part of patient education as well.
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You may also want to highlight the benzodiazepines here since they are widely used across settings.
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In Figure 6.2 under Sympathetic, Dilates is missing the 'l'. The word 'ganglia' at the bottom needs to be one word.
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Again, make sure that the definition includes the communication of risks, benefits, and alternatives to treatment in order to support the decision.
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Card 17 Informed consent: The definition needs to include that the patient has RECEIVED INFORMATION about risks, benefits, alternatives IN ORDER to accept or reject.
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May want to consider adding that there is no implication of guilty/not guilty in the health team's findings.
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This is the primary purpose of emergency admissions.
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Generally this needs to be done in writing.
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Informed consent is more accurately described as the receipt of basic information regarding risks, benefits, and alternatives to treatment. With this information the patient can then accept or reject the treatment.
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assault
Assault can also apply to verbal threats, such as, "You will never be discharged if you don't cooperate with your treatment plan."
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All links work.
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Spelling error
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too many or too few neurotransmitters
May want to include the word imbalance, since most disorders have multiple neruotransmitters involved.
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"too many or too few neurotransmitters..." May want to also use the word 'imbalance' in here since most illness involve multiple neurotransmitters.
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