Tag: A patient’s assessment

A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of state and “really needs” her medications.

Question: How do you Approach This Patient in the community setting?

What is the implications of prescribing this medication? Please provide evidence.

1. A family is gathered around in the ICU waiting room to monitor the status of a 22-year-old male, David, who sustained traumatic injuries in a motorcycle accident. He is in critical unstable condition with many wounds and severe abrasions. David’s mom keeps crying and saying, “What did I do to deserve this, God?” The family is Roman Catholic.

a. What information should you ask the family regarding their culture, beliefs, and coping mechanisms?
b. The family wants to be at the bedside with David and requests to be present if he has a code blue or becomes asystolic.
c. What is your best response to their request?

Ashton is a 21-year-old single Caucasian male who is a college student at the local university. Ashton wore unmatched clothes and had a strong body odor, his shirts had armpit stains and looked like they had been worn several times without being washed. He came in due to several incidents in his dorm room and university. It started a little over two months ago. It started off with small accusations that Ashton’s roommate was reading his emails and texts on his phone when he was out of the room. Then one day his roommate came home to Ashton taking apart their thermostat because he thought his roommate was hiding a camera in it. His affect started to become flat, with the lack of emotions scaring his roommate. Ashton became nervous and secluded in his room due to the fear that people were spying on him and would sometimes lock his roommate out. His grades have begun to slip because he is consumed with his thoughts.

In your initial post,

First describe the patient’s symptoms and the available demographic and historical data.
If new terminology is introduced, be sure to explain to your peers what this entails.
Evaluate the plausibility of prescribing medication to a person who is vulnerable to schizophrenia, considering medication is often effective for most people who have psychotic symptoms. What are the possible advantages and disadvantages of this proactive approach to treatment?
See you required text for potential vulnerability factors. Be sure to cite in your writing.
Given the broad range of symptoms and social deficits that are often associated with psychotic disorders, these patients often need a broad array of services and support systems. Evaluate the most important forms of mental health services that would be helpful, both to these patients and their families, in addition to medication.
Analyze the political variables surrounding the cost of treatment. Who should pay for mental health services to patients with serious mental disorders such as schizophrenia or bipolar disorder? Should they be included in standard health insurance programs? Should they be prioritized like other medical disorders, such as cancer and heart disease?