(Answered)NURS 6630/ Nurs6630n Discussion: Treatment
for a Patient With a Common Condition(Case: An elderly
widow who just lost her spouse.)
Case: An elderly widow who just lost her spouse.
Subjective: A patient presents to your primary care office today with chief complaint of
insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years
passed away 10 months ago. Since then, she states her depression has gotten worse
as well as her sleep habits. The patient has no previous history of depression prior to
her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP
once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office
today by private vehicle. Patient currently takes the following medications:
• Metformin 500mg BID
• Januvia 100mg daily
• Losartan 100mg daily
• HCTZ 25mg daily
• Sertraline 100mg
daily Current weight: 88 kg
Current height: 64
inches Temp: 98.6
degrees F BP: 132/86
By Day 3 of Week 7
Post a response to each of the following:
• List three questions you might ask the patient if she were in your
office. Provide a rationale for why you might ask these questions.
• Identify people in the patient’s life you would need to speak to or get
feedback from to further assess the patient’s situation. Include specific
questions you might ask these people and why.
• Explain what, if any, physical exams, and diagnostic tests would be
appropriate for the patient and how the results would be used.
• List a differential diagnosis for the patient. Identify the one that you
think is most likely and explain why.
• List two pharmacologic agents and their dosing that would be
appropriate for the patient’s 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.
• For the drug therapy you select, identify any contraindications to use
or alterations in dosing that may need to be considered based on the
client’s ethnicity. Discuss why the contraindication/alteration you
identify exists. That is,
what would be problematic with the use of this drug in individuals of
other ethnicities?
• Include any “check points” (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.
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, Treatment for a patient with a common condition
3 question to ask the patient
1. Do you drink caffeinated drinks? If yes, how many do your drink a day and at what time?
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for a Patient With a Common Condition(Case: An elderly
widow who just lost her spouse.)
Case: An elderly widow who just lost her spouse.
Subjective: A patient presents to your primary care office today with chief complaint of
insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years
passed away 10 months ago. Since then, she states her depression has gotten worse
as well as her sleep habits. The patient has no previous history of depression prior to
her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP
once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office
today by private vehicle. Patient currently takes the following medications:
• Metformin 500mg BID
• Januvia 100mg daily
• Losartan 100mg daily
• HCTZ 25mg daily
• Sertraline 100mg
daily Current weight: 88 kg
Current height: 64
inches Temp: 98.6
degrees F BP: 132/86
By Day 3 of Week 7
Post a response to each of the following:
• List three questions you might ask the patient if she were in your
office. Provide a rationale for why you might ask these questions.
• Identify people in the patient’s life you would need to speak to or get
feedback from to further assess the patient’s situation. Include specific
questions you might ask these people and why.
• Explain what, if any, physical exams, and diagnostic tests would be
appropriate for the patient and how the results would be used.
• List a differential diagnosis for the patient. Identify the one that you
think is most likely and explain why.
• List two pharmacologic agents and their dosing that would be
appropriate for the patient’s 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.
• For the drug therapy you select, identify any contraindications to use
or alterations in dosing that may need to be considered based on the
client’s ethnicity. Discuss why the contraindication/alteration you
identify exists. That is,
what would be problematic with the use of this drug in individuals of
other ethnicities?
• Include any “check points” (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.
This study source was downloaded by 100000851646087 from CourseHero.com on 02-21-2023 23:00:37 GMT -06:00
https://www.coursehero.com/file/77881293/An-Elderly-Woman-who-jsut-lsot-her-husband-3docx/
, Treatment for a patient with a common condition
3 question to ask the patient
1. Do you drink caffeinated drinks? If yes, how many do your drink a day and at what time?
This study source was downloaded by 100000851646087 from CourseHero.com on 02-21-2023 23:00:37 GMT -06:00
https://www.coursehero.com/file/77881293/An-Elderly-Woman-who-jsut-lsot-her-husband-3docx/
