What is the DSM 5-TR diagnosis based on the information provided in the case? Archives

September 25, 2024

Bipolar Disorders Case Study

Bipolar Disorders Case Study

Answer the questions below based on the following case study.

A 20-year-old woman with a past history of MDD is brought to the local emergency department (ED) by her family. She appears restless, pacing around the waiting room, and her parents say that she has recently been asked to leave her job as a tattoo artist. She has not slept for four nights, and her speech is rapid and quickly wanders off the point. She had recently purchased a $20,000 car and a $40,000 van to jump-start her mobile tattoo business in Naples, Florida. She is very reluctant to remain in the ED department because she has far too much to do and considers it a waste of everyone’s time. She believes that she is far too important to be held back by minions.

Summarize the clinical case.,
What is the DSM 5-TR diagnosis based on the information provided in the case?,
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.,
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.,
Include an assessment of the treatment’s appropriateness, cost, effectiveness safety and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.,

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.Bipolar Disorders Case Study
Answer the questions below based on the following case study.

A 20-year-old woman with a past history of MDD is brought to the local emergency department (ED) by her family. She appears restless, pacing around the waiting room, and her parents say that she has recently been asked to leave her job as a tattoo artist. She has not slept for four nights, and her speech is rapid and quickly wanders off the point. She had recently purchased a $20,000 car and a $40,000 van to jump-start her mobile tattoo business in Naples, Florida. She is very reluctant to remain in the ED department because she has far too much to do and considers it a waste of everyone’s time. She believes that she is far too important to be held back by minions.
1. Summarize the clinical case.
2. What is the DSM 5-TR diagnosis based on the information provided in the case?
3. Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
4. Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
5. Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:
- Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

August 19, 2024

Primary Care Case Study

By AssignmentHelp Blog

Primary Care Case Study

A 41-year-old man presents to his PCP with feelings of hopelessness, sadness, and helplessness. He says that he cries for no reason and has difficulty sleeping. He noticed that the problems began about 6 weeks before, and he did not feel able to shrug them off. He has been drinking more alcohol than usual and has stopped going to work. When on his own, he admitted that he had thought of driving his car into the nearest canal.

Summarize the clinical case.

What is the DSM 5-TR diagnosis based on the information provided in the case?

Which pharmacological treatment would you prescribe including the name dose route and frequency of the drug in accordance with the clinical guidelines? Include the rationale for this treatment.

Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.

Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.

our initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

Primary Care Case Study

A 41-year-old man presents to his PCP with feelings of hopelessness, sadness, and helplessness. He says that he cries for no reason, and has difficulty sleeping. He noticed that the problems began about 6 weeks before, and he did not feel able to shrug them off. He has been drinking more alcohol than usual and has stopped going to work. When on his own, he admitted that he had thought of driving his car into the nearest canal.

Summarize the clinical case.

What is the DSM 5-TR diagnosis based on the information provided in the case?

Which pharmacological treatment would you prescribe including the name dose route and frequency of the drug in accordance with the clinical guidelines? Include the rationale for this treatment.

Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.

our initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

Primary Care Case Study

Summarize the clinical case.

What is the DSM 5-TR diagnosis based on the information provided in the case?

Which pharmacological treatment would you prescribe including the name dose route and frequency of the drug in accordance with the clinical guidelines? Include the rationale for this treatment.

Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.

our initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

July 1, 2024

Depressive Disorders Case Study

By AssignmentHelp Blog

Depressive Disorders Case Study

Answer the questions below based on the following case study.

Depressive Disorders Case Study

Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe including the name, dose, route and frequency of the drug in accordance with the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

Answer the questions below based on the following case study.

Depressive Disorders Case Study

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources. Use APA referencing style.

July 1, 2024

Anxiety/Sleep wake Disorders Assignment

By AssignmentHelp Blog

Anxiety/Sleep wake Disorders Assignment

Answer the questions below based on the following case study.

A 26-year-old woman presented to the clinic after her cleaning rituals had so exhausted her that she had given up and could now enter only two of the five rooms in her home. For more than a year she has worried that if her house is not sufficiently clean, her 3-year-old son will become ill and could die. Having touched a surface, she has to disinfect it repeatedly – a procedure performed in a particular way and taking several hours. In addition, she repetitively washes her hands and sterilizes all the crockery and cutlery before eating. She realizes that she is ‘going over the top’, but she cannot stop thinking that items may have germs on them. This leads to disabling anxiety and fear for her son’s health, which she can only resolve by cleaning. This helps temporarily, but soon the thoughts return again.

Anxiety/Sleep wake Disorders Assignment

Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

Anxiety/Sleep wake Disorders Assignment

June 28, 2024

Primary Care Clinical Case

By AssignmentHelp Samples

Primary Care Clinical Case

Clinical Case Summary

A 41-year-old man presents to his primary care physician (PCP) with feelings of hopelessness, sadness, and helplessness. He reports crying without reason, difficulty sleeping, increased alcohol consumption, and absenteeism from work. These symptoms began about six weeks ago and have progressively worsened. Additionally, he admitted to having suicidal thoughts, specifically considering driving his car into a canal.

DSM-5-TR Diagnosis

Based on the symptoms and their duration, the man likely meets the criteria for Major Depressive Disorder (MDD) according to the DSM-5-TR. The key symptoms include:

– Depressed mood most of the day, nearly every day.

– Markedly diminished interest or pleasure in almost all activities.

– Insomnia or hypersomnia.

– Feelings of worthlessness or excessive guilt.

– Recurrent thoughts of death or suicidal ideation.

Primary Care Clinical Case

Pharmacological Treatment

Medication: Sertraline (Zoloft)

Dose: Initial dose of 50 mg

Route: Oral

Frequency: Once daily

Rationale: Sertraline is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for MDD. It is chosen due to its efficacy in alleviating depressive symptoms and relatively favorable side effect profile. Starting with 50 mg allows the patient to adjust to the medication, with the potential to increase the dose if necessary based on the patient’s response and tolerance.

Non-Pharmacological Treatment

Treatment: Lifestyle Modifications

Rationale: Non-pharmacological interventions like regular exercise, a balanced diet, and proper sleep hygiene are crucial in managing depression. Exercise, in particular, has been shown to improve mood by increasing endorphins and enhancing overall physical health. Encouraging the patient to establish a routine can help in mitigating some symptoms of depression.

Primary Care Clinical Case

Assessment of the Treatment’s Appropriateness

Appropriateness: Sertraline is appropriate given the patient’s symptoms and the first-line treatment status of SSRIs for MDD. It addresses the chemical imbalances in the brain that contribute to depression.

Cost: A generic version of Sertraline can be very cost-effective. At a local pharmacy, a 30-day supply of 50 mg tablets costs approximately $4 to $10.

Effectiveness: SSRIs like Sertraline are effective in treating MDD, with many patients experiencing improvement within 4 to 6 weeks. Regular follow-up is necessary to monitor the effectiveness and adjust the dose as needed.

Safety: Sertraline has a well-documented safety profile. Common side effects include nausea, headache, and insomnia, which often diminish over time. It has a lower risk of overdose compared to tricyclic antidepressants and is generally safe for long-term use.

Patient Adherence: Adherence is likely given the once-daily dosing and the relatively mild side effects. Educating the patient on the importance of taking the medication as prescribed and discussing potential side effects can enhance adherence.

Cost-Effectiveness

Sertraline, particularly the generic form, is cost-effective. Many insurance plans cover it, and it’s available at a low cost in most pharmacies. For a patient without insurance, the cost remains manageable. According to GoodRx, a 30-day supply of generic Sertraline 50 mg tablets costs between $4 to $10 at major pharmacies.

Primary Care Clinical Case

Local Pharmacy Cost Research

A local pharmacy reports that a 30-day supply of Sertraline (50 mg) costs around $10 without insurance. The price may vary slightly depending on the pharmacy and available discounts.

Conclusion

The 41-year-old patient is diagnosed with Major Depressive Disorder based on his symptoms and their duration. Sertraline is recommended as the pharmacological treatment due to its efficacy, safety, and cost-effectiveness. Non-pharmacological treatments, including lifestyle modifications, support the overall treatment plan by addressing physical and mental health. The proposed treatment plan considers the appropriateness, cost, effectiveness, safety, and potential for patient adherence, ensuring comprehensive care for the patient. APA.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Gelenberg, A. J., Freeman, M. P., Markowitz, J. C., Rosenbaum, J. F., Thase, M. E., Trivedi, M. H., … & Reus, V. I. (2019). Practice guideline for the treatment of patients with major depressive disorder. American Psychiatric Association.
Thase, M. E., Mahableshwarkar, A. R., Dragheim, M., Loft, H., & Vieta, E. (2020). A meta-analysis of randomized controlled trials of vortioxetine for the treatment of major depressive disorder in adults. European Neuropsychopharmacology, 31, 150-161.
Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., van Straten, A., & Ebert, D. D. (2019). The effects of psychotherapies for major depression in adults on remission, recovery and improvement: A meta-analysis. Journal of Affective Disorders, 240, 138-148.
GoodRx. (2023). Sertraline Prices, Coupons & Savings Tips. Retrieved from https://www.goodrx.com/sertraline

November 25, 2023

Nursing Case study Discussion

By Assignment Expert Blog

Nursing Case study Discussion

TM is a 79-year-old man who was diagnosed with dementia 6 years previously. He lives with his 72-year-old wife. He was a chain smoker for 45 years. She describes a gradual deterioration in his condition such that in recent months she has found it increasingly difficult to manage him. He has become increasingly hostile and aggressive, though he has not actually assaulted her. He has begun to complain about seeing people wandering around the house, and that frightens him. On two occasions he has left the house and been found wandering along the road. She has noticed that his condition fluctuates – sometimes he is very aggressive and confused, while at other times he is calmer and more lucid.

Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.

Nursing Case study Discussion

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor. Use APA referencing style.

November 18, 2023

Clinical Case Study Nursing

By Assignment Expert Blog

Clinical Case Study Nursing

A 20-year-old woman is brought to the local emergency department (ED) by her family. She appears restless, pacing around the waiting room, and her parents say that she has recently been asked to leave her job as a tattoo artist. She has not slept for four nights, and her speech is rapid and quickly wanders off the point. She had recently purchased a $20,000 car and a $40,000 van to jump-start her mobile tattoo business in Naples, Florida. She is very reluctant to remain in the ED department because she has far too much to do and considers it a waste of everyone’s time. She believes that she is far too important to be held back by minions.

Clinical Case Study Nursing

Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor. Use APA referencing style.

November 15, 2023

Discussion-Nursing Homework

By Assignment Expert Blog

Discussion-Nursing Homework

Answer the questions below based on the following case study.

Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:

Discussion-Nursing Homework

November 2, 2023

Case Study Discussion Nursing

By Assignment Expert Blog

Case Study Discussion Nursing

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor. Use APA referencing style.

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