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Vignette Analysis IThis  assignment focuses on vignette analysis and direct application of  course concepts to the persons and situations presented in the vignette  for each question. All discussions must take into account the legal and  ethical considerations, as well as issues of culture and human diversity  that may pertain to the situations presented below. Use the reading assignments thoroughly in an integrative discussion.  Remember to reference all work cited or quoted by the text authors. You  should be doing this often in your responses Please keep your responses focused on what is presented in the vignette.  Do not add information but use your creativity to support what you see  in the vignette as written. Avoid elaborations and assumptions. This  assignment MUST be typed, double-spaced, in APA style, and must be  written in graduate level English.Your assignment should be 3-4 pages in length per vignette PLUS a title and reference pageVignette One (3-4 page response)Janie  is a 42-year-old African American, wife of Jake, and mother of  12-year-old Stacy. Once a vibrant business office manager, Janie is now  on disability and rarely leaves the house.  She was diagnosed with major  depressive disorder at age 20 when she reported feelings of  worthlessness, fatigue, insomnia, and loss of concentration to doctor at  her college health services. Janie stated that she had felt “blue and  emotionally needy.” She had a relationship with a guy who “deceived me  and physically and emotionally abused me for two years. I lost interest  and respect for myself and others.” She was prescribed an antidepressant  medication and referred to a counselor and support group. Janie’s  therapist stated that Janie’s depression is a chronic condition and  Janie is at risk for recurrent episodes of depression. She asked Janie  to identity triggers that might precipitate those episodes. Janie stated  these triggers: (1) fear that I might return to my “lowest low”  depression state, (2) anxiety that I want to spare my daughter the pains  that I have endured, (3) periodic “sense of dread” for Stacy’s future  in an uncertain world, and (4) wonder about what my “hormonal change”  menopause will look like. Vignette Two (3-4 page response)Tom  is a 62-year-old Italian-American man who was diagnosed with Diabetes  Mellitus Type II about 10 years ago. He has chosen to live with little  diet control, weight gain, weekly elevated blood sugars of over 300,  sedentary lifestyle, and non-adherence to prescribed diabetes  medications. He freely admits that this disease “gets in the way of my  life.” “I like to eat whenever and whatever I please, especially while I  watch TV. You know, finger-sticks and doctors’ visits are not in my  game plan. Maybe all of that later.” Tom now faces increasing blood  pressure, increasing vision problems, unrelenting skin ulcers that will  not heal, and insulin therapy. His wife, Gilda, describes Tom as, “he’s  always been self-indulgent and does what he wants regardless of the  consequences. When we first met, he was smoking marijuana daily, but he  grew out of that”.  Gilda does not understand Tom’s decisions and says,  “If I had diabetes, I’d take care of myself by eating well, exercising,  and taking my medicines.” Reference:Larsen, P.D., Whitney, F.W.    (2016).   Chronic Illness: Impact and Intervention.   (9th edition).   Burlington, MA   Jones & Bartlett Learning.     ISBN: 978-1284049008Video Acceptance and Commitment Therapy: Addressing Chronic Illness with Steven C. Hayes, Ph.D.   https://www.youtube.com/watch?v=1KA0JjkB10kVideo Dr Mark Morningstar – Chronic Pain – Auto Immune Disorders 2 of 6.   https://www.youtube.com/watch?v=LX89LfDKncA Video Dr Mark Morningstar Chronic Pain- Failed Back Surgery 6 of 6.   https://www.youtube.com/watch?v=EzogsQy1Z_I Video Dr Mark Morningstar Chronic Pain- Fibromyalgia- 5 of 6.   https://www.youtube.com/watch?v=MTPKEvD304s Video Dr Mark Morningstar- Chronic Pain- Lyme Disease 4 of 6.   https://www.youtube.com/watch?v=BKdfDEQ2TJM Video Dr Mark Morningstar Chronic Pain Workshop- Sources Of Pain 1of 6.   https://www.youtube.com/watch?v=GNNrAN_0F60 Video Dr Morninstar Chronic Pain Workshop-Heavy Metal and Chemical Toxicity 3 of 6.   https://www.youtube.com/watch?v=KKmRMVzM8ccVideo How to Live With a Chronic Illness.   https://www.youtube.com/watch?v=DYnUaX67VbU

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