Decision making regarding anxiety related to depresion

Decision making regarding anxiety related to depresion Essay Assignment Paper

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

Kindly order now for a custom-written, completely unique essay paper that is free of plagiarism! on Decision making regarding anxiety related to depresion Essay Assignment Paper from Best Nursing Writers

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

At the clinic, he does endorse feeling “nervous”. Affect is somewhat blunted but does brighten several times throughout the clinical interview. Affect broad. denies visual or auditory hallucinations, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

Decision #1

Which decision did you select? Zoloft 50mg orally daily, Client returns to clinic in four weeks, Client informs you that he has no tightness in chest, or shortness of breath, Client states that he noticed decreased worries about work over the past 4 or 5 days and HAM-A score has decreased to 18 (partial response)

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

· Decision #2 increase dose to 75mg orally daily. Client returns to clinic in four weeks reports an even further reduction in his symptoms, HAM-A score has now decreased to 10. At this point- continue current dose (61% reduction in symptoms)

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· Decision #3 continue with current dose of 75mg daily

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Decision making regarding anxiety related to depresion Essay Assignment Paper

Also read: