Case Study\/Scenerio: An elderly widow who just lost her spouse.\u00a0<\/p>\n
Subjective: A patient presents to your primary care office today with chief complaint of insomnia.\u00a0Patient is 75 YO with PMH of DM, HTN, and MDD.\u00a0Her husband of 41 years passed away 10 months ago.\u00a0Since then, she states her depression has gotten worse as well as her sleep habits.\u00a0The patient has no previous history of depression prior to her husband\u2019s death.\u00a0She is awake, alert, and oriented x3.\u00a0Patient normally sees PCP once or twice a year.\u00a0Patient denies any suicidal ideations.\u00a0Patient arrived at the office today by private vehicle.\u00a0<\/p>\n
Patient currently takes the following medications:\u00a0<\/p>\n
Metformin 500mg BID\u00a0<\/p>\n
Januvia 100mg daily\u00a0<\/p>\n
Losartan 100mg daily\u00a0<\/p>\n
HCTZ 25mg daily\u00a0<\/p>\n
Sertraline 100mg daily\u00a0<\/p>\n
\u00a0Current weight: 88 kg<\/p>\n
Current height: 64 inches<\/p>\n
Temp: 98.6 degrees F<\/p>\n
BP: 132\/86\u00a0<\/p>\n
THE QUESTION<\/p>\n
List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.\u00a0<\/p>\n
Identify people in the patient\u2019s life you would need to speak to or get feedback from to further assess the patient\u2019s situation. Include specific questions you might ask these people and why.\u00a0<\/p>\n
Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.\u00a0<\/p>\n
List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.\u00a0<\/p>\n
List two pharmacologic agents and their dosing that would be appropriate for the patient\u2019s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.\u00a0<\/p>\n
For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication\/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?<\/p>\n
Include any \u201ccheck points\u201d (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.<\/p>\n","protected":false},"excerpt":{"rendered":"
Case Study\/Scenerio: An elderly widow who just lost her spouse.\u00a0 Subjective: A patient presents to your primary care office today with chief complaint of insomnia.\u00a0Patient is 75 YO with PMH of DM, HTN, and MDD.\u00a0Her husband of 41 years passed away 10 months ago.\u00a0Since then, she states her depression has gotten worse as well as […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-96484","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/96484","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=96484"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/96484\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=96484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=96484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=96484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}