NU643 2022 January Week 12 Case Study Latest

NU643 Advance Psychopharmacology

Week 12 Assignment   

Geriatric Case Study

Instructions

In this assignment, you will review the Geriatric Interactive Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to support your work.

Use the Geriatric Case Study Questions (Word) document to complete the case study assignment.

Follow the requirements posted in the rubric.

Interactive case studies should be three to five pages, excluding title and references pages.

All papers must conform to the most recent APA standards.

Instructions

This case study consists of one hypothetical patient situation.

Select the Patient Information tab. Within this tab, you will be able to watch a video to gain more insight regarding the patient as well as view important patient details.

For this assignment, you will address a series of questions regarding the care of the patient. Your answers should include specific reference to relevant guidelines and other clinical information. The national guidelines should also be considered with treatment plans.

When you are done viewing the patient information, download the Case Study Assignment (Word) document from the assignment page in Moodle. Use this document to complete the assignment and then submit it to the assignment page.

Geriatric Case Study Transcript

Chief Complaint:Mr. Bert Colton is an 89-year-old Caucasian male who presents to the clinic with his granddaughter, complaining of “I’m so panicked, I feel like I can’t calm down and I feel like I want to cry.”

History of Present Illness:

Onset:Patient described feeling restless, on edge, fatigued, and irritable since his diagnosis of open-heart surgery one year ago.

Location:Mostly when at home alone.

Duration:Over the past year, he has started to excessively worry more and more about multiple issues.

Characteristics: He endorsed worrying and being anxious most all day, most every day of the week, about what will happen to his daughter when he dies; if she will die a terrible death because of his disease being passed to her, or if she might get breast cancer like his wife died of.

He worries about what if the day comes when she cannot walk or care for herself anymore. What will her church family do without her if she can’t attend biweekly anymore, or the places where she volunteers, like he does. He sees the impact that his disease has and does not want that for his family, too.

For the last six months, in addition to feeling restless, on edge, fatigued, and irritable, he has also had difficulty concentrating and cannot “turn his mind off sometimes” at night to fall asleep.

He has started having trouble walking to the store, which is one block away, for his groceries, paying his bills, going to social gatherings, and going to his neighborhood group meetings, and he has recently decreased his church attendance and volunteer experiences at the local hospital because of his symptoms.

Aggravating: Thinking about dying and leaving family, all the work that needs done to my home, thinking about and missing my wife.

Relieving: Spending time with family.

Temporal: Worse in late evenings and sometimes in middle of the night.

Severity: “I can’t stand this feeling every day, like I need to jump out of my skin.”

Differentials: List the three most likely differential diagnoses based on her objective findings, with cited rationale.

What is the etiology/pathophysiology associated with each diagnosis?

What is the prevalence of each of these diagnoses?

Develop a plan of care for each of the three differential diagnoses, including the following:

Diagnostic testing

Pharmacologic interventions, including dosage, route, and frequency

Nonpharmacologic interventions, including modality and frequency

Education, including health promotion, maintenance, and psychosocial needs

Safety plan

Referrals required

Follow-up, including return to clinic (RTC) in what time frame and reason, including any labs needed for next visit

 

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