DISCUSSION BOARD CASE STUDY INSOMNIA

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Home>Homework Answsers>Nursing homework helpNursInsomnia case – DiscussionFor this Discussion, review the case below. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.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 BIDJanuvia 100mg dailyLosartan 100mg dailyHCTZ 25mg dailySertraline 100mg dailyCurrent weight: 88 kgCurrent height: 64 inchesTemp: 98.6 degrees FBP: 132/86By Day 3 (Wednesday) of Week 7:Posta 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 the data provided.Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.5 years ago14.01.202115Report issueAnswer(1)Doctor.Namira5.0(1k+)5.0(152)ChatPurchase the answer to view itNOT RATEDCASESTUDY.docxCASESTUDYoutline.docx5 years agoplagiarism checkPurchase $20Bids(117)nicohwilliamDoctor.NamiraQuality AssignmentsMUSYOKIONES A+WIZARD_KIMTutor Cyrus KenTeacher A+ WorkProf Double Rpacesetters2121Michelle GoodManPremiumEmily ClareRosie SeptemberMajesticMaestroDiscount AssignProf James KelvinNightingaleDiscount AnsAmanda SmithYourStudyGuruother Questions(10)What is a specific impact of information technologies ethics in an organization? How do they control ethics in Information Technology?POS 355 Week 5 Team assignment presentationECO/100Ashford SOC 305 Week 4 QuizBUS 517 Assignment 2 Project Scopeaccounting homeworkFIN 370 Week 4 Individual My FinanceLab ProblemsPaper on preserving capital: Bootstrappingproperty lawoutline with correct format

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