NURS 6630 The Case Of Physician Do Not Heal Thyself Essay

NURS 6630 The Case Of Physician Do Not Heal Thyself Essay

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NURS 6630 The Case Of Physician Do Not Heal Thyself Essay

NURS 6630, Case , Physician, Do Not Heal, Thyself, Essay

 

Case 2: The case of physician do not heal thyself

60-year-old man with chief complaint of “being unstable”

Walden University – NURS 6630 wk 3 discussion c.docx

Case 2: The case of physician do not heal thyself

60-year-old man with chief complaint of “being unstable”

Three Questions with Rationale

How long were you on lithium before you stopped taking it, and did you experience any adverse effects to the TCAs you were originally prescribed when first diagnosed with depression?

Please describe what you are feeling/experiencing during your depressed state, and how long are these episodes lasting?

Are you irritable during your depressed state also, or only when you are experiencing inflated self-esteem, increased goal-directed activity, overtalkativeness, racing thoughts, psychomotor agitation, less need for sleep and so on?

Additional Questions to Ask the People in the Client’s Life

When my client was diagnosed with depression while in medical school at the age of 23, did anything happen that could have possibly triggered this depressive state that my client stated was his worst.

It is important to distinguish between Bipolar Disorder (BPAD) and Borderline Personality Disorder (BPD) and if the client’s depression was induced from his personality disorder or if this was an initial onset of a major depressive episode.  The DSM-5 states that BPAD typically starts in or around the mid-20s (APA, 2013).

Please describe the client’s mood when he is not depressed, and how long do these episodes last?According to Stahl (2013), it is not uncommon for individuals suffering with bipolar to downplay their manic symptoms.  It is also important to determine the length of time of these episodes as that will help determine a diagnosis.

Can you describe the client’s depressed state?  In other words, does he lose interest in activities he usually enjoys?  Does he appear as though he cannot concentrate?  Has he lost or gained a significant amount of weight?  Does he acquire enough sleep?  Does he seem frequently tired? Has he voiced thoughts of suicide?

It is important to discover the extent of his depression and if additional interventions are appropriate.  It is important to note if the patient is displaying signs and symptoms for a major depressive episode.  Also, if the patient appears to be at risk for harming himself, hospitalization may be necessary.

Inquire from mother and father any more details to the family history of mental illness such as depression and bipolar disorder.

First-degree relatives who also have bipolar disorder can indicated the possibility the patient also has a form of bipolar disorder (Stahl, 2013).  It is also important to inquire about specific treatments, medications, and any hospitalizations that occurred with the family members who suffered from bipolar disorder (Stahl, 2013).

It would also be important to ask the client’s coworkers if his depressed state in any way affects his performance at work due to a lack of concentration, fatigue, or depressed mood (APA, 2013).

 

 

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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