In this case scenario, Ms. IC’s primary doctor, gynecologist and her psychiatric nurse practitioner or psychiatrist, as well as her caregiver or family members should be contacted by the nurse practitioner in order to gain Ms. IC’s previous medical history and medical managements. The purposes for consulting other healthcare providers are to provide better care and to prevent relapse.
patients will also be prescribed to some type of antidepressants like, Zoloft, Prozac, and Paxil.
United States. National Institute of Mental Health. “Mental Health Medications.” 2008. Health and Education. Web. 16 Nov. 2013
Major depressive disorder is usually treated with medication and psychotherapy, also known as talk therapy. Webmd.com also states that if drugs are ineffective and symptoms are severe, electroconvulsive therapy (ECT) or shock therapy may be prescribed. Before the patient arrived to PES her prescribed home meds were Quetiapine (Seroquel) 25 mg two times a day, which is a mood stabilizer and Sertraline (Zoloft), an antidepressant 150 mg daily. During her stay at PES they kept her on the same meds but planned on decreasing her Zoloft. They had her on a q15 safety check because of her suicidal thoughts and the social worker was also available. I believe the best interventions for people who suffer with depression is to 1. Acknowledge feelings of depression and anxiety. 2. Review coping mechanisms so they are better equipped to deal with day to day life stressors better, and 3. Identify what the patient can and cannot do about the current situation. When you realize that some things are out of your control you can manage depression and how much it affects you. The last day that I saw the patient, she was calling home a lot telling her aunt she missed her baby and was ready to come home. Her aunt told her that she needed to stay at PES to get well so she could come home and to not worry because she had everything under control, and the patient agreed. Although the patient has a lot of risk factors and personal issues adding to her depression, she has
Sarah walks into a crowded classroom on her first day at her new university. She tries to remain inconspicuous as she slides into a seat at the back of the room. A few minutes later, the instructor walks through the door. He goes around the room, asking the students to introduce themselves to their classmates. As Sarah's turn to speak approaches, her heart beats rapidly, her body trembles, sweat forms on her forehead, breathing becomes difficult, and a nauseus feeling overcomes her. She quietly thinks, “What if I say something embarrassing? What if I sound stupid?” Sarah sinks deeper into her seat, desperately hoping that the instructor will skip her.
There are many issues and goals presented with those involved in this specific case. To begin, there are several issues with the young girl’s family relationship, more importantly, her mother. With this said, although there are no signs of abuse, and the relationship seems to be positive, her mother shows several signs of neglect (Martinek & Walling, 1995). One example of the present signs of neglect include the young girl attending school wearing dirty clothes and showing a dirty appearance. The young girl is also known to go to school unprepared and does not attend class with the needed materials (Martinek & Walling, 1995). Mothers are known to be nurturing to their kids and always look out for them while providing the necessary care for them. These qualities are not present in the young girl’s mother who may have led to her condition of learned helplessness. Along with the young girl’s family relationship, her relationship involving her teachers are observed as well. Her teachers face several concerns dealing with her behavior and her problem for learning. Particular difficulties and concerns her teachers often come across
... had been frustrated and thought about how her life was not very pleasant, but has never had any suicidal intentions or plans. She denies any hallucinations, delusions or abnormal perceptions. She is quite eager to pursue counseling to help her to function more successfully.
I stood on the ledge of a 30 story building, not knowing how and when I got up here. I felt a hand on my back push me and instantly the wind was blowing in my face. My heart jumped out of my chest as the ground grew closer. “Stop,” I shouted out. I saw the features of cars and people below me grow clearer and closer. I screamed and the lights went back on. Rodney Grey came in and pat me on the shoulder. “Congratulations, you`re doing a great job; now you only have a lifetime of fear simulations to complete,” he said.
Kayla is a third grade girl. She has 3 older siblings and 2 younger siblings. All are currently in the school system. All 7 students suffer from the same problem; they are constantly absent from school. Kayla’s grades have plummeted. At the beginning of the school year Kayla was an average student with areas of concern in reading. She showed documented progression in her Dibels and Weekly tests. In November, Kayla’s dad lost his job and has had little luck finding a long term position. He tries to find jobs in neighboring towns. Kayla’s mom has picked up a position at the neighborhood steakhouse/bar. She now works nights. There have been signs of alcohol abuse by dad and the older siblings are responsible for getting the younger siblings to school. Kayla and her siblings have all been referred to the Student Assistant Team (SAT). The team is wondering if the surge of absences this semester will have a long term effect on Kayla and are trying to decide what if anything they can do for her or her siblings.
She has a “very careful and loving” husband who is a physician who just says that she has a “temporary nervous depression” she is “forbidden to ‘work’” until she is better. He restricts her from certain actions she wishes to do to stimulate her mind, and only stops her to tell her