Pagana KD, Pagana TJ (2010). Mosby's Manual of Diagnostic and Laboratory Tests, 4th ed. You may get a small bruise at the site. African Americans believe strongly in use of prayer for all situations they may encounter; prayer reflects the trust and faith one has in God. Patients should be interviewed regarding their sleep quality, daytime sleepiness, and snoring. The patient also has right knee pain usually relieved by taking Cymbalta. Insight and Judgment: Appropriate. Philadelphia: Lippincott Williams and Wilkins. Thinking Process:   Patient speech patterns seem normal. … Fischbach FT, Dunning MB III, eds. Company Registration No: 4964706. Cymbalta (duloxetine) is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) used for treating depression, anxiety disorder, and pain associated with diabetic peripheral neuropathy or fibromyalgia (Tran & Castle, 2012). Beck depression inventory: BDI-II. Thinking about Diagnosis and treatment plan. The patient has had several miscarriages. Manual of Laboratory and Diagnostic Tests, 8th ed. Obesity increase mental health problem even with the control of demographic and medical issues Obesity is known to be the most common risk factor of cardiovascular disease, leading to number one cause of death in mental health patients. It may feel tight. Her aunt on maternal side has hypothyroidism. Current as … General Health: patient reports no recent fever or sweats. Nursing  prescribing, 12(1), 43-47. Fischbach, Frances Talaska.Dunning, Marshall Barnett.A Manual Of Laboratory And Diagnostic Tests. The patient was educated about symptoms of mental illness and available resources. She states no current tenderness or enlargement of thyroid glands. Her father does not have a psychiatric history. It needs to be assessed. And also to measure kidney function, diagnose renal failure and kidney disease (Fischbach & Dunning III 2006, pp. Thought content: She denies auditory or visual hallucinations. St. Louis: Mosby. Hematological: patient reports no known hematological disorder (Seidel, 2015). Depression: Facts, Statistics & You. San Antonio: Pearson. The patient will be referred to an ophthalmologist and a dentist for further evaluations. However, her recent thyroid tests were regular. Low levels (hypothyroidism) can mimic symptoms of mental illnesses or exasperate the symptoms of mental illness. Print. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). God is responsible for physical and spiritual health, and the doctor is perceived as God’s instrument in the healing process. She started drinking at age 14. Sickle cell disease is an inherited blood disease that causes red blood cells to be deformed ( sickle-shaped). Upon arrival at the clinic, the patient signed a confidentiality agreement form after brief education regarding how her medical information will be used. Pagana KD, Pagana TJ (2010). During this period of panic mode, she becomes tachycardic, has difficulty taking a deep breath, elevated blood pressure and sense of impending doom. Prenatal diagnosis of congenital disorders. When Wellbutrin is administered, a little bit of dopamine is released in the nucleus accumbens, making the craving less but usually not eliminating it (Stahl, 2013). BDI consists of emotional, behavioral, and somatic symptoms which takes 5-10 minutes to administer; each item was scored and measured, sore of 10- 18 indicates Mild depression, 19-29 indicate moderate Depression, and greater than 30 shows severe depression (American Psychiatric Association, 2013). (2009). Thinking about Diagnosis and treatment plans: This patient has no history of illicit drugs, she also denies the use of alcohol, but smokes a pack of cigarettes a week, the patient also has 2-3 drinks per day. Help couples find out how likely they are to have a child with certain forms of anemia that can be passed from a parent to a child (inherited). We're here to answer any questions you have about our services. Manual of Laboratory and Diagnostic Tests, 8th ed. Also, your doctor will evaluate your results based on your health and other factors. A warm compress can be used several times a day to treat this. Put pressure on the site and then put on a bandage. Your use of this information means that you agree to the Terms of Use. Philadelphia: Lippincott Williams and Wilkins. An important part of education for the patient includes strategies for coping with anxiety and depression. Fischbach FT, Dunning MB III, eds. In the original clinician-administered scale, the first 17 topics are tallied for the total score, while topics 18-21 are used to measure depression. She states that she needs help with her mental health. The effect of metabolic in second-generation antipsychotic medications leads to obesity; this includes weight gain, hyperlipidemia, and hyperglycemia (Mckibbin, Kitchen, Wykes & Lee, 2013). The articles grade of recommendation is “A” and level of evidence is “1b” because they all used randomized control trial, where participants were assigned to groups. The patient is African American and practices Catholic faith. Neuroimaging can help clarify the nature of the neurologic illness that may produce psychiatric symptoms, but these studies are costly and may be of questionable value in patients without discrete neurologic deficits. The blood sample is taken from a vein in your arm. These citations may not conform precisely to your selected citation style. She reports that these feelings may last about 3 hours and has on two occasions lasted about three days. In HIV patients, anxiety disorder and depression are a significant problem. This information does not replace the advice of a doctor. A PMHP should acknowledge his or her biases regarding different views and should have a basic understanding of the cultural areas that should be assessed during interaction with patients (Drake, 2013). NOTICE: This health information was not created by the University of Michigan Health System (UMHS) and may not necessarily reflect specific UMHS practices. A hemoglobin electrophoresis test is a blood test done to check the different types of hemoglobin in the blood. Credits. African Americans take their seriously, and they expect to receive a message in preaching that helps them in their daily lives (Purnell, 2013). 2009). Fischbach FT, Dunning MB III, eds. (2006). Another tool that can be used for assessing the patient is the PHQ-9 patient depression questionnaire (PHQ-9). The patient stated “I have been feeling depressed, anxious and under stress” depression need to be considered as potential diagnosis, the other diagnosis generalized anxiety and sleep apnea disorder due to excessive daytime sleepiness, awakening SOB, frequent arousals, and fatigue. Philadelphia: Lippincott Williams and Wilkins. Her husband has been supportive even though things have been rough. © 1995-2020 Healthwise, Incorporated. This can help you and your partner see how likely you are to have children with certain inherited forms of anemia (such as sickle cell disease or thalassemia). Seidel’s guide to physical examination. General appearance: Dressed appropriately for the season. Additionally, obesity has been linked to diabetes, hypertension, causing a significant reduction in the level of functioning. (depression), L-thyroxin 100mcg PO daily (hypothyroidism), Hydrochlorothiazide 25mg PO daily (hypertension). Fischbach FT, Dunning MB III, eds. Because the patient complains of an occasional headache, suggesting MRI may be an option. Tell your doctor if you are getting iron therapy for iron deficiency anemia. A. She has a complete set of own teeth. 8th ed. The high frequency of misdiagnosis among African Americans contributes to their reluctance to trust mental health professionals (Purnell, 2013). Couples and family therapy has demonstrated to have a clear role in the treatment of numerous specific psychiatric disorders, often as a component of a multi-method treatment (Sadock, Sadock, & Ruiz, 2015). Thinking Process: Patient is within a reasonable range of self-aware. Counseling through talking therapy allows the patient to verbalize their feelings with a private setting (Sadock, Sadock & Ruiz, 2015). She has a 10-year-old daughter and 7-year-old twins (a boy and a girl). The soft palate was touched, and. Thinking Process: Patient dressed appropriately for the season. During conductive hearing loss, sounds diminish, its shows the bone conduction is better than air conduction, In a sensorineural hearing loss, air and bone conduction decreases to a similar extent, IX, X- Tongue depression with the use of a turning blade. Pietrangelo. (2009). Fischbach FT, Dunning MB III, eds. Her eyes are fine. Psychology, Health & Medicine, 17(2), 136-149. (Culpepper, 2016). The patient is family oriented however because of the current problem of her mental health; her brother and mother are not supportive. Disclaimer: This dissertation has been written by a student and is not an example of our professional work, which you can see examples of here. Last eye exam was two years ago. The Cymbalta was slightly helpful; following patient medication was changed to Wellbutrin by another physician to reduce her cigarette craving. Medical Journal of North America, 98(5), 981-1005. United Kingdom: Cambridge University Press. The AIMS is a 12-item anchored scale that is clinician given and scored on the rate of 0-4 (0 = none, 4=severe) based on the assessment. At about 17 years old, she saw a psychologist briefly due to some issues in her life that were not fully revealed by the patient. (2009). St. Louis: Saunders. Caffeine: The patient has two or three drinks per day of coffee. Mosby's Manual of Diagnostic and Laboratory Tests, 4th ed. Psychiatric Nursing (6th Ed.). (2009). 8thedition. Intervention studies have demonstrated that treatment of OSA via CPAP use resulted in improvement in depressive symptoms and panic attacks (Sampaio, Pereira & Winck. Her last dentist appointment was two years ago. Patient has had no prior history of psychiatric hospitalization but, has seen a psychologist briefly due to some issues in her life that she not reveals. Patient’s son has ADHD. Manual of Laboratory and Diagnostic Tests, 8th ed. Créditos. She does have CPAP machine that she uses at night for sleep. Philadelphia: Lippincott, Folk, J. Patient understanding of their illness affects how they feel. She does not feel discriminated against in her neighborhood though she does not feel like an outsider. Manual of Laboratory and Diagnostic Tests, 8th ed. The relationship ended because she moved to another state. Retrieved March 09, 2018, from https://www.healthline.com/health/depression/facts-statistics-infographic, Sadock, B. J., Sadock, V.A., & Ruiz, P. (2015). The patient goes into panic attack due to inability to pay her bills, and husband is also jobless. Positron emission tomography (PET) imaging provides the means for the study of receptor binding of ligands and the effect a compound may have on receptors. Higher-than-normal amounts of both hemoglobin A2 and, Hemoglobin S in moderate amounts can mean that, Hemoglobin C in low amounts can mean that. Major depression. Put the needle into the vein. Electrophoresis uses an electrical current to separate normal and abnormal types of hemoglobin in the blood. Also, the patient was educated to try nicotine patch as a beginning strategy for smoking cessation and to choose from the above-recommended therapy. Cognitive behavioral therapy (CBT) is drawn from both behavioral and cognitive theories Cognitive models of emotional response propose that our thoughts strongly influence our feeling and behavior. COVID-19 Vaccines: Information about COVID-19 vaccines and how we're preparing for distribution. Patient has no history of liver disease. Result was negative, Recommended mammogram:  Not appropriate age. Thinking Process: Patient denies any chest pain. The patient sees OBGYN regularly for preventive care and performs self-care breast exam five times a week, also has her last pap smear done in 2013. Pagana KD, Pagana TJ (2010). Stahl, S.M. Thinking process: Patient has clarity. EPR is used for improvement in the management of chronic respiratory disease, the program takes three sessions of supervised exercise per weeks, along with education and psychosocial support, which significantly reduce anxiety and depression more than standard care in patients with OSA (Heslop, 2014). Personal/Social History: The patient was born in southern part of the country. Manual of Laboratory and Diagnostic Tests, 8th ed. She now smokes. Such complications include hypertension, heart disease, heart failure, stroke, impairment in neurocognitive functioning, and elevated psychological symptoms. Since the patient has no history of liver disease, denies nausea, vomiting, and no blooding stool. Thinking Process: Although patient reports hypothyroidism, she has no current enlargement of thyroid glands. Based on the score, a definitive diagnosis was made on clinical grounds, which is based patient understanding of the questionnaire and other information provided by the patient. The labs were done to determine if some of the symptoms the patient is experiencing are related to her medical condition. Journal on Addiction, 105(3), 87-99. Cardiovascular: Patient denies chest pain or palpitations. Appetite has been very poor without any weight change. Still drinks coffee. Hemoglobin types other than S, C, D, and E are rare. Patient reports seeing her OBGYN regularly for preventive care and perform self- breast examination at least five times a week, Medications:  Wellbutrin 200 mg b.i.d. DSM V criteria for GAD include excessive anxiety and worry, restlessness or feeling keyed up or on edge, irritability, sleep disturbance, difficulty concentrating or feeling of impending doom (American Psychiatric Association, 2013). Pagana KD, Pagana TJ (2010). It is imperative to assess the patient using the AIMS tool because the patient has been prescribed psychoactive medications. To perform the Rinne test used to evaluate loss of hearing in one ear, its perception of sounds transmitted by air conduction to those by bone conduction through the mastoid. She was able to ask questions, discuss the side effects in detail and verbalized understanding of the teachings. Community Mental Health Journal, 50(10), 566-576. Fischbach FT, Dunning MB III, eds. You may feel nothing at all from the needle, The patient was able to state correctly the side that moved. Fischbach FT, Dunning MB III, eds. Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009. St. Louis: Mosby Elsevier. ), TSH (3.41mU/L). (2016, June 18). This makes the veins below the band larger so it is easier to put a needle into the vein. (2009). Depression is the leading cause of disability in united states, World Health Organization (WHO) estimated 350 million people worldwide are suffering from depression. Manual of Laboratory and Diagnostic Tests, 8th ed. 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