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While there are many different types of psychotherapy, research has shown that Cognitive Behavioral Therapy is one of the most effective types of therapy for the treatment of depression.
Diagnostic and statistical manual of mental disorders (5th ed.
Hepatic (Liver) Effects: These agents increase the serum concentration of alkaline aminotransferase.
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The Royal College of Paediatrics and Child Health has produced guidance, published March 2015: Making Decisions to Limit Treatment in Lifelimiting and Life threatening Conditions in Children: A Framework for Practice.
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Physical Assessment Assess oral cavity for tumor or lesions that interfere with eating Have patient empty bladder before abdominal assessment Assess for bloating, tenderness, distention, bulges Bowel sounds: hyperactive, hypoactive, absent Listen continuously for 5 minutes if bowel sounds absent - could indicate paralytic ileus Percussion: tympany related to gas; dull sound related to intestinal fluids and feces Palpation: look for muscular resistance, abdominal tenderness; rebound tenderness associated with peritoneal inflammation; deep palpation may reveal stool in left colon Digital examination of rectum for stool, tumor or rectocele; assess for hemorrhoids, ulcerations, rectal fissures Diagnostic tests Consider x-rays within context of palliative care goals May be useful to rule out obstruction vs.
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