Discussion board – week five
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Case study:
THEME OF THE WEEK: BRINGING IT TOGETHER, ASSESS, DIAGNOSE, AND TREAT
You are working in a behavioral health outpatient setting and your next patient to see complains of depression. He is a 29 year old who tells you that he has a long standing history of depression. Recently his mother passed away and he has been struggling more with depression. He does not feel like he has much of a support system left now. He denies SI or HI. He had been taking over the counter St. Johns wort and prescription escitalopram, which was working well prior to his mother passing. Since she passed, he has tried to increase his doses on his own, which he doesn’t feel has helped much. He does have a history of anxiety and was recently prescribed bupropion. He has noted some palpitations which he attributed to his anxiety. He has not been sleeping well, which he attributes to the stress of his mother passing. He notes a mild HA over the past few days and did take a dose of sumatriptan yesterday with no improvement. He denies any injury to his head. Today he reports he has had some increased anxiety to the point he feels nauseated and his arms/hands are shaking. He did have 2 episodes of vomiting prior to arrival and multiple episodes of diarrhea. He has been experiencing sweating all day today. He feels his symptoms are getting worse.
On physical exam you find he is diaphoretic. He seems somewhat anxious/agitated. He does have some fine motor tremors and slightly dilated pupils. He has no unilateral weakness or facial asymmetry. Strength is equal but has some generalized rigidity. His reflexes on his upper extremity are normal but hyperreflexia on examination of his patellar reflexes. ECG, and head CT are unremarkable.
Vitals: Temp-38.1, Pulse-107, RR-20, BP-137/87, O2-97%
Write in paragraph form your diagnosis. Include what supports this diagnosis and write your full treatment plan. This should be building on all five weeks of assessment, diagnosis, and treatment.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
All replies must be constructive and use literature where possible. They must be at least 100 words and supported by at least one source.
Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Your assignment will be graded according to the grading rubric.
Category Points Description
Application of Course Knowledge 4 The quality of this category is determined by the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lessons and outside readings and relate them to real-life professional situations
Scholarliness and Scholarly Resources
3
This category is evaluated on the quality of the student’s ability to: Support writing with appropriate, scholarly sources; provide relevant evidence of scholarly inquiry clearly stating how the evidence-informed or changed professional or academic decisions; evaluate literature resources to develop a comprehensive analysis or synthesis; use sources published within the last 5 years; match reference list and in-text citations match, and minimize or appropriately format direct quotations
Grammar, Spelling, Syntax, Mechanics and APA Format 1
Reflection post has minimal grammar, spelling, syntax, punctuation, and APA* errors. Direct quotes (if used) are limited to 1 short statement** which adds substantively to the post.
* APA style references and in-text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
**Direct quote should not exceed 15 words & must add substantively to the discussion
Interactive Dialogue 2 The quality for this category is determined by substantive written responses to a peer and faculty member’s questions in the threaded discussion. Substantive posts add importance, depth, and meaningfulness to the discussion. Students must respond to at least two peers in the threaded discussion. If no question asked directly from faculty, students must respond to questions posed to the entire class. The post must include at least one scholarly source.
Total 10
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