Adult/Geriatric depression

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Home>Homework Answsers>Nursing homework helpcompAdult/Geriatric DepressionBACKGROUND INFORMATIONThe client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse.SUBJECTIVEDuring today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work.MENTAL STATUS EXAMThe client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the“Montgomery- Asberg Depression Rating Scale (MADRS)”and obtained a score of 51(indicating severe depression).To prepare for this Assignment:· Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy(Use laureate media interactive media below to make treatment decisions)·The AssignmentExamineCase Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.· At each decision point stop to complete the following:oDecision #1§ Which decision did you select?§ Why did you select this decision? Support your response with evidence and references to the Learning Resources.§ What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.§ Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?oDecision #2§ Why did you select this decision? Support your response with evidence and references to the Learning Resources.§ What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.§ Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?oDecision #3§ Why did you select this decision? Support your response with evidence and references to the Learning Resources.§ What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.§ Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?· Also include how ethical considerations might impact your treatment plan and communication with clients.RESOURCES§ Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.d ReadingsNote: All Stahl resources can be accessed through this link provided.Stahl, S. M. (2013).Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications(4th ed.). New York, NY: Cambridge University Press.Note:To access the following chapters, click on theEssential Psychopharmacology, 4th edtab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.Chapter 6, “Mood Disorders”Stahl, S. M. (2014b).The prescriber’s guide(5th ed.). New York, NY: Cambridge University Press.American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders(5th ed.). Washington, DC: Author.Note:Retrieved from Walden Library databases.Montgomery, S. A., & Asberg, M. (1979).A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389. Retrieved from https://www.researchgate.net/profile/Marie_Asberg/publication/22697065_A_New_Depression_Scale_Designed_to_be_Sensitive_to_Change/links/09e41513f85c708fee000000.pdfRequired MediaLaureate Education. (2016g).Case study: An elderly Hispanic man with major depressive disorder[Interactive media file]. Baltimore, MD: Author.Note: This case study will serve as the foundation for this week’s Assignment.5 years ago06.03.202030Report issueAnswer(1)kim woods4.5(6k+)4.2(157)ChatPurchase the answer to view itorder_135286_354743.doc5 years agoplagiarism checkPurchase $30Bids(73)Miss_ManhaDr. AmeerahAllRoundBest TutorTeacher TrumahnDr. Michelle_PhDBethuel BestGreat-WritersAmerican TutorRosie Septemberwizard kimChloe HowardQuickly answerCarol The NurseElprofessoriPROF. ANNbrilliant answersMaster Answersnjoshrunge-kutta acerCatherine Owensother Questions(10)Unit VI Case Study Read the following scenario, and answer the questions following each section: The Dosit Corporation is a chemical manufacturer, and its products are sold to other manufacturers and used in household cleaning products. The company has 2EnglishOnline Quiz for turorforhelpAssignmentValuation of a firm’s financial assetsAbstract Research indicates that participation in extracurricular activities affects students’ academic performance. More specifically, studies have been conducted assessing the effects of specific extracurricular activities on academic performance. The pEconomic System Effectivenessassignment1. Describe each of the three domains of development (physical, cognitive, and psychosocial) and provide an example of each.Accounting Case Problem

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