Herzing NU 670 Unit 4 Assignment Latest
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Herzing NU 670 Unit 4 Assignment Latest
Unit 4 Assignment Depression & Anxiety Case Study
Instructions
Complete a full intake on this patient and then develop a
treatment plan using the template offered.
Patient
History
The patient
is a 59-year-old married woman with 5 grown children
She is
moderately overweight (BMI 30) and was diagnosed with non-insulin-dependent
diabetes 10 years ago; she is fairly well managed on an oral hypoglycemic
medication (glipizide 10 mg twice per day)
Two years
ago, the patient experienced 2 tremendous stressors: her oldest child
developed leukemia (now in remission), and her mother and father
both passed away
She suffered
a significant and impairing major depressive episode that went untreated until
recently
This was her
fifth episode of depression; she experienced 2 major depressive episodes as a
teenager, and she developed postpartum depression and
anxiety following the births of 2 of her children
Four months
ago, after she was too fatigued to get out of bed, she sought treatment
for the first time in her life
After
receiving education and support from her clinician, she reluctantly agreed to
take Paxil 30 mg/day
The patient
has experienced a near-complete resolution of her symptoms in the
last 6 months; however, she has developed side effects and wants to
discontinue the medication
Specifically,
she has increased appetite and has correspondingly gained 7 pounds in the last
4 months, with an increase in HgA1c of 1 full percentage point
She also
reports excess daytime sedation and anorgasmia (very unusual for her)
What
options can you offer to manage these side effects? Be specific
What
education should you give the patient about stopping this medication
abruptly?
What is your
treatment plan?
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