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NSG
6005 Week 5 Assignment 1 Discussion
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Select
one of the two questions from the discussion questions listed below .By Week 5,
Day 3, respond to the selected discussion question and submit your response to
this Discussion Area .
Be
sure to respond to the question using the lessons and vocabulary found in the
reading .Justify your answers using examples and reasoning .Support your
answers with examples and research and cite your research using APA format .
Start
reviewing and responding to the postings of your classmates as early in the
week as possible .Respond to at least two of your classmates’ posts .Participate in
the discussion by asking a question, providing a statement of clarification,
providing a point of view with a rationale, challenging an aspect of the
discussion, or indicating a relationship between two or more lines of reasoning
in the discussion .
Discussion
Question 1
GF
is a forty-one-year-old woman who arrives for her first visit at the clinic
.She reports that she has been feeling sad and depressed, with crying spells,
trouble sleeping, increased appetite, impaired concentration, and fatigue .She
has experienced depression in the past but was able to overcome the symptoms
without medication .Upon physical exam, she appears to be poorly groomed and
with minimal facial expression .She is slow to respond to questions .She admits
to being very anxious and worried about “everything .” She denies any current
suicidal ideation .However, she expresses concerns about the future and that it
may not be an improvement .She has tried over-the-counter medications to help
with sleep, but they have not been effective .Answer the following questions:
What
additional information would you like before making a decision about what to do
with GF?
What
approach would you suggest for this patient? Which of her symptoms would
concern you and require intervention?
Does
she need to be referred to another provider, or can she be managed in a primary
care setting?
Are
there any nonpharmacological strategies that might be appropriate for her?
For
medications, include dosages and schedules .Include highlights of patient
teaching and/or lifestyle alterations .Support your decisions with at least one
reference to a published clinical guideline and one peer-reviewed publication .
Discussion
Question 2
ST
is a twenty-five-year-old male who presents to the clinic with a major
complaint of insomnia .He has been experiencing problems sleeping for the past
month .He has been “borrowing” medication from his mother and friends, such as diazepam and
alprazolam, and he finds that these are helpful in allowing him to sleep .He
was also diagnosed with asthma at the age of ten .He has been using an inhaler,
as needed, but he cannot recall the name of the inhaler .He is currently
working part-time through a temporary agency, and he has not been able to find any
full-time work .Answer the following questions:
What
additional information would you like to obtain from ST?
What
are the possible reasons for his insomnia?
What
are the possible strategies you can use to help him with the insomnia?
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