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Adult/Geriatric Depression

 

BACKGROUND INFORMATION

The applicant is a 32-year-old Hispanic American macho who came to the United States aback he was in aerial academy with his father. His mother died aback in Mexico aback he was in school. He presents today to the PMHNPs arrangement for an antecedent arrangement for complaints of depression. The applicant was referred by his PCP afterwards “routine” medical work-up to aphorism out an amoebic base for his depression. He has no alternative bloom issues with the barring of some casual aback affliction and “stiff” amateur which he attributes to his accepted assignment as a laborer in a warehouse.

SUBJECTIVE

During today’s analytic interview, applicant letters that he consistently acquainted like an alien as he was “teased” a lot for actuality “black” in aerial school. States that he had few friends, and basically kept to himself. He describes his home activity as “good.” Stating “Dad did what he could for us, there were 8 of us.” He additionally letters a appreciably beneath absorption in agreeable in accepted activities, states that he has acquired 15 pounds in the aftermost 2 months. He is additionally afflicted with indisposition which began about 6 months ago, but accept been progressively accepting worse. He does address poor absorption which he letters is accepting in “trouble” at work.

MENTAL STATUS EXAM

The applicant is alert, aggressive to person, place, time, and event. He is accidentally dressed. Speech is clear, but soft. He does not readily accomplish eye contact, but aback he does, it is alone for a few moments. He is acknowledging animosity of depression. Affect is somewhat constricted, but improves as the analytic account progresses. He denies beheld or audition hallucinations, no credible delusional or batty anticipation processes readily apparent. Judgment and acumen arise grossly intact. He is currently abstinent baleful or bloodthirsty ideation. The PMHNP administers the “Montgomery- Asberg Abasement Rating Calibration (MADRS)” and acquired a account of 51 (indicating astringent depression).

To adapt for this Assignment:

· Review this week’s Learning Resources. Accede how to appraise and amusement developed and aged audience acute antidepressant therapy( Use laureate media alternate media beneath to accomplish analysis decisions)

·  

The Assignment

Examine Case Study: An Aged Hispanic Man With Above Depressive Disorder. You will be asked to accomplish three decisions apropos the medication to appoint to this client. Be abiding to accede factors that ability appulse the client’s pharmacokinetic and pharmacodynamic processes.

· At anniversary accommodation point stop to complete the following:

Decision #1

§ Which accommodation did you select?

§ Why did you baddest this decision? Support your acknowledgment with affirmation and references to the Learning Resources.

§ What were you acquisitive to accomplish by authoritative this decision? Support your acknowledgment with affirmation and references to the Learning Resources.

§ Explain any aberration amid what you accepted to accomplish with Accommodation #1 and the after-effects of the decision. Why were they different?

Decision #2

§ Why did you baddest this decision? Support your acknowledgment with affirmation and references to the Learning Resources.

§ What were you acquisitive to accomplish by authoritative this decision? Support your acknowledgment with affirmation and references to the Learning Resources.

§ Explain any aberration amid what you accepted to accomplish with Accommodation #2 and the after-effects of the decision. Why were they different?

Decision #3

§ Why did you baddest this decision? Support your acknowledgment with affirmation and references to the Learning Resources.

§ What were you acquisitive to accomplish by authoritative this decision? Support your acknowledgment with affirmation and references to the Learning Resources.

§ Explain any aberration amid what you accepted to accomplish with Accommodation #3 and the after-effects of the decision. Why were they different?

· Additionally accommodate how ethical considerations ability appulse your analysis plan and advice with clients.

RESOURCES

§ Montgomery, S. A., & Asberg, M. (1979). A new abasement calibration advised to be acute to change. British Journal of Psychiatry, 134, 382-389.

d Readings

Note: All Stahl assets can be accessed through this articulation provided.

Stahl, S. M. (2013). Stahl’s capital psychopharmacology: Neuroscientific base and applied applications (4th ed.). New York, NY: Cambridge University Press.

Note: To admission the afterward chapters, bang on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and baddest the adapted chapter. Be abiding to apprehend all sections on the larboard aeronautics bar for anniversary 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 chiral of brainy disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Montgomery, S. A., & Asberg, M. (1979). A new abasement calibration advised to be acute 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.pdf

Required Media 

Laureate Education. (2016g). Case study: An aged Hispanic man with above depressive disorder [Interactive media file]. Baltimore, MD: Author. 

Note: This case abstraction will serve as the foundation for this week’s Assignment.

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