31 years old

 This week, we appraise a 31-year-old macho who presents to the appointment with a arch complaint of insomnia. SUBJECTIVE Patient is a 31-year-old male. He states that his indisposition has gotten progressively worse over the accomplished 6 months. Per the patient, he has never been a “great sleeper” but is now accepting adversity both falling comatose and blockage comatose at night. The botheration began about 6 months ago afterwards the abrupt blow of his fiancé. The accommodating states this is affecting his adeptness to accomplish his job, which is a forklift abettor at a bounded actinic company. The accommodating states he has acclimated diphenhydramine in the accomplished to beddy-bye but does not like the way it makes him feel the morning after. He states he has collapsed comatose on the job due to abridgement of beddy-bye from the night before. The patient's medical almanac from his antecedent physician states that he has a history of analgesic abuse, which began afterwards he bankrupt his abate in a skiing blow and was assigned hydrocodone/apap (acetaminophen) for astute affliction management. The accommodating has not accustomed a decree for an analgesic analgesic in 4 years. The accommodating states afresh he has been application booze to advice him abatement asleep, about four beers above-mentioned to bed. MENTAL STATUS EXAM The accommodating is active and aggressive to person, place, time, event. He makes acceptable eye acquaintance and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and absoluteness acquaintance are all intact. Accommodating denies suicidal/homicidal ideation, and is approaching oriented.  Decision Point One Select what you should do: Zolpidem: 10 mg circadian at bedtimeTrazodone: 50–100 mg circadian at bedtimeHydroxyzine: 50 mg circadian at bedtime  Assignment 2: Assessing and Treating Patients With Sleep/Wake Disorders Sleep disorders are altitude that aftereffect in changes in an individual’s arrangement of beddy-bye (Mayo Clinic, 2020). Not surprisingly, a beddy-bye ataxia can affect an individual’s all-embracing health, safety, and affection of life. Psychiatric assistant practitioners can amusement beddy-bye disorders with psychopharmacologic treatments, however, abounding of these drugs can accept abrogating furnishings on alternative aspects of a patient’s bloom and well-being. Additionally, while psychopharmacologic treatments may be able to abode issues with sleep, they can additionally apply abeyant challenges with alive patterns. Thus, it is important for the psychiatric assistant practitioner to anxiously appraise the best psychopharmacologic treatments for patients that present with sleep/wake disorders.Reference: Mayo Clinic. (2020). Beddy-bye disorders. https://www.mayoclinic.org/diseases-conditions/sleep-disorders/symptoms-causes/syc-20354018 To adapt for this Assignment: Review this week’s Learning Resources, including the Medication Assets adumbrated for this week. Reflect on the psychopharmacologic treatments you ability acclaim for the appraisal and analysis of patients with sleep/wake disorders. The Assignment: 5 pages Examine Case Study: Pharmacologic Approaches to the Analysis of Indisposition in a Younger Adult. You will be asked to accomplish three decisions apropos the medication to appoint to this patient. Be abiding to accede factors that ability appulse the patient’s pharmacokinetic and pharmacodynamic processes.At anniversary accommodation point, you should appraise all options afore selecting your accommodation and affective throughout the exercise. Afore you accomplish your decision, accomplish abiding that you accept researched anniversary advantage and that you appraise the accommodation that you will select. Be abiding to analysis anniversary advantage application the primary literature.Introduction to the case (1 page) Briefly explain and abridge the case for this Assignment. Be abiding to accommodate the specific accommodating factors that may appulse your accommodation authoritative back prescribing medication for this patient. Decision #1 (1 page) Which accommodation did you select? Why did you baddest this decision? Be specific and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature. Why did you not baddest the alternative two options provided in the exercise? Be specific and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature. What were you acquisitive to accomplish by authoritative this decision? Abutment your acknowledgment with affirmation and references to the Learning Assets (including the primary literature). Explain how ethical considerations may appulse your analysis plan and advice with patients. Be specific and accommodate examples. Decision #2 (1 page) Why did you baddest this decision? Be specific and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature. Why did you not baddest the alternative two options provided in the exercise? Be specific and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature. What were you acquisitive to accomplish by authoritative this decision? Abutment your acknowledgment with affirmation and references to the Learning Assets (including the primary literature). Explain how ethical considerations may appulse your analysis plan and advice with patients. Be specific and accommodate examples. Decision #3 (1 page) Why did you baddest this decision? Be specific and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature. Why did you not baddest the alternative two options provided in the exercise? Be specific and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature. What were you acquisitive to accomplish by authoritative this decision? Abutment your acknowledgment with affirmation and references to the Learning Assets (including the primary literature). Explain how ethical considerations may appulse your analysis plan and advice with patients. Be specific and accommodate examples. Conclusion (1 page) Abridge your recommendations on the analysis options you called for this patient. Be abiding to absolve your recommendations and abutment your acknowledgment with clinically accordant and patient-specific resources, including the primary literature.

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