Case study<\/p>\n
54-year-old white female. Individual reports depression has increased. \u201cI been dealing with my boyfriend being in the nursing home. I have no desire to do anything. I just feel depressed and all I do is lay around crying.\u201d Individual reports anxiety the same. She reports Seroquel helps with sleep and denies side effects from medications. Individual rates life 4\/10 with 10 being the happiest. She denies SI\/HI at this time. Plan: continue Oxycarboxipine 300 mg daily, increase Seroquel dose to Seroquel 150 mg daily. Order Genesight test (increase Oxycaboxipine dosage pending review of test results). Follow up in 4 weeks<\/p>\n
DX; <\/p>\n
Bipolar disorder, Anxiety, Depression, Difficulty sleeping <\/p>\n
Current Medications<\/p>\n
Quetiapine 100 mg<\/p>\n
Oxycarbazepine 300 mg<\/p>\n
Fluticasone prop 50 mcg spr<\/p>\n
Loratadine 10 mg <\/p>\n
Levothyroxine sodium 50 mcg<\/p>\n
Montelukast sod 10 mg<\/p>\n
Losartan potassium 50 mg<\/p>\n
Novolog 100 units\/ml vial<\/p>\n
Diltiazem HCL ER coated BEA<\/p>\n
VIT D2 1.25 mg (50,000 unit)<\/p>\n
Lisinopril (cough)<\/p>\n
Sulfur (hives)<\/p>\n
Vital signs <\/p>\n
Hight 5\u201911<\/p>\n
Weight 247 lbs<\/p>\n
BMI 34<\/p>\n
ROS<\/p>\n
PYSICHIATRIC;<\/p>\n
(+) Change in mood<\/p>\n
(+) Depression<\/p>\n
(+) Sadness interfering with function <\/p>\n
(+) Anxiety<\/p>\n
(-) Nervousness<\/p>\n
(+) Sleep disturbance <\/p>\n
(+) Hopelessness<\/p>\n
(+) Worthlessness<\/p>\n
(-) Delusions<\/p>\n
(-) Hallucinations <\/p>\n
HPI<\/p>\n
Individual reports anxiety and depression most of her life. She reports childhood sexual trauma. Individual also reports grief from the loss of her adult son. <\/p>\n
Past Psychiatric History: <\/p>\n
Anxiety<\/p>\n
Depression <\/p>\n
Bipolar<\/p>\n
Reproductive Hx<\/p>\n
Age of menses 15<\/p>\n
G3 T3 PO AO L2<\/p>\n
PMHx<\/p>\n
HTN<\/p>\n
COPD- Bronchitis\/Emphysema<\/p>\n
Type II DM<\/p>\n
Hyperlipidemia<\/p>\n
PSHx<\/p>\n
Tubal ligation, vulvectomy <\/p>\n
FHx<\/p>\n
Mother (deceased) cancer, mood disorder<\/p>\n
SHx<\/p>\n
Current smoker<\/p>\n
Occasional alcohol<\/p>\n","protected":false},"excerpt":{"rendered":"
Case study 54-year-old white female. Individual reports depression has increased. \u201cI been dealing with my boyfriend being in the nursing home. I have no desire to do anything. I just feel depressed and all I do is lay around crying.\u201d Individual reports anxiety the same. She reports Seroquel helps with sleep and denies side effects […]<\/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-96487","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\/96487","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=96487"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/96487\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=96487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=96487"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=96487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}