Answer and Explanation:
1. To facilitate the examination and communication with Sara, it would be important to politely ask her mother to leave the room. This could make Sara more relaxed and allow her to feel more comfortable answering questions, as we can see that her mother's presence is bothering her. Then it would be important to tell Sara that everything that was said in the room would be confidential and no one besides her and the interviewer would know about anything she said, for this reason, she could speak without fear of suffering any reprisal or having the content of the conversation disseminated.
2. Sara may be facing issues related to her teenage insecurities. She is 14 years old and it is common for teenagers at this age to become irritable, moody and anxious. She may also be facing problems related to substance ingestion, hormonal imbalance, among others.
3. To resolve concerns about Sara, it is important that the interviewer establish a relationship of complicity, so that Sara can inform what she is feeling, what is causing this behavior and what kind of situations she is involved. It is also important that she undergo medical tests that show the hormonal level and substances present in her body.
Answer:
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What is the “Distal Convoluted Tubule”?
Answer:
It can improve your muscle strength and boost your endurance.
Nonconvulsive status epilepticus ,it prolonged seized that manifests primarily as altered mental status as opposed to the dramatic convulsions seen in generalized tonic-clonic status apilepticus.
It caused by psychogenic non-epileptic status. intoxication substance like lithium, tricyclics, tiagabine,etc. A distinct electroclinical evolution of prolonged seizure activity. In case EEG is not available then clinical improvement in close temporal relationship to acute anticonvulsant treatment is NCSE but missing response does not exclude diagnosis.
This disorder has rapid expanded from classical features like chewing, staring and automatism which includes coma, prolonged apnea, cardic arrest , dementia. There are some sign that is muscle spasms, falling, confusion, unusual noise , etc
To learn more about psychogenic non-epileptic status here
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