{"id":696,"date":"2020-03-09T16:17:56","date_gmt":"2020-03-09T16:17:56","guid":{"rendered":"https:\/\/papersspot.com\/blog\/?p=696"},"modified":"2020-03-09T16:17:56","modified_gmt":"2020-03-09T16:17:56","slug":"discussion-question-w9","status":"publish","type":"post","link":"https:\/\/papersspot.com\/blog\/2020\/03\/09\/discussion-question-w9\/","title":{"rendered":"Discussion Question W9"},"content":{"rendered":"

Discussion:<\/strong><\/p>\n

Angela is a 54-year-old married woman with three adult children. She has been the office
\nmanager of a small law firm for 20 years and has enjoyed her work until this past year. She has
\nrheumatoid arthritis with minimal impairment that has been managed well with NSAIDs. She has
\nbeen taking conjugated estrogens for 8 years and decided to stop taking them because of her
\nconcern of their risks without sufficient medical benefit. She has tolerated the discontinuation
\nwithout difficulty.<\/p>\n

Assessment:<\/strong><\/p>\n

At her annual medical checkup appointment, she told her primary care provider that she seemed
\nto be tired all the time, and she was gaining weight because she had no interest in her usual
\nexercise activities and had been overeating, not from appetite but out of boredom. She denied
\nthat she and her husband have had marital difficulties beyond the ordinary and she was pleased
\nwith the achievements of her children. She noticed that she has difficulty falling asleep at night
\nand awakens around 4 a.m. most mornings without her alarm and cannot go back to sleep even
\nthough she still feels tired. She finds little joy in her life but cannot pinpoint any particular
\nconcern. Although she denies suicidal feelings, she does not feel that there is meaning to her life:
\n\u201cMy husband and kids would go on fine if I died and probably wouldn\u2019t miss me that much.\u201d
\nThe primary care provider asks Angela to fill out a Beck\u2019s Depression Scale, which
\nindicated she has moderate depression.<\/p>\n

    \n
  1. What medication would you first prescribe to this patient?
    \n2. She comes back in 2 weeks and states she has not noticed and change in her mood since starting on the medication. What would be your response?
    \n3. What are the possible problems with the medication you prescribed?
    \n4. How long should you continue the treatment regimen?<\/li>\n<\/ol>\n
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    \"\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Discussion: Angela is a 54-year-old married woman with three adult children. She has been the office manager of a small law firm for 20 years and has enjoyed her work until this past year. She has rheumatoid arthritis with minimal impairment that has been managed well with NSAIDs. She has been taking conjugated estrogens for […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-696","post","type-post","status-publish","format-standard","hentry","category-essay-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/696","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=696"}],"version-history":[{"count":1,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/696\/revisions"}],"predecessor-version":[{"id":697,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/696\/revisions\/697"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=696"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=696"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}