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APA
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Health, Medicine, Nursing
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Case Study
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English (U.S.)
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Psychopharmacologic Treatment Case: Man Who Looked Upon the Lady

Case Study Instructions:

Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady


The Case: The figment of a man who looked upon the lady
The Question: Are atypical antipsychotics anti-manic, antidepressant, anxiolytic, and hypnotic as well?
The Psychopharmacological dilemma: How to improve insomnia that is caused by depression, anxiety, mood swings, and hallucinations



  • Review this week's Learning Resources and reflect on the insights they provide.

  • Go to the Stahl Online website and examine the case study you were assigned.

  • Take the pretest for the case study.

  • Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

  • Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

  • Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

  • Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

  • Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.

  • Review the posttest for the case study.


By Day 3


Post a response to the following:



  • Provide the case number in the subject line of the Discussion.

  • List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

  • Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

  • List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

  • If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.

  • Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

Case Study Sample Content Preview:

Case 2, Volume 2, Case # 11: The Figment of a Man Who looked upon the Lady
Author’s Name
Institutional Affiliation
Case 2, Volume 2, Case # 11: The Figment of a Man Who looked upon the Lady
Introduction
A case of a woman who is 42 with an intricate psychiatric history that involved insomnia, visual hallucination, posttraumatic stress disorder, impaired aggressive behavior, and depression. In the duration of 36 months, the patient was treated with Tiagabine, Paroxetine, Remelton, and Bupropion. A combination of Bupropion, Quetiapine, and Lexapro was also given to the client. The medical history of the patient consists of GERD, overweight, CAD, diabetes, Glaucoma, OSA, SOPD, and drug use.
Questions Relevant to Patient’s Condition with Rationale
There are chances of having signs of the mental problem because of certain medicines. Another possibility of mental illness is broad medical history and consumption of several medications. Few relevant questions are as follows:
1 Have you ever take herbal treatment and I would check for connections with present medication procedure?
2 The albuterol inhaler has few after-effects such as insomnia, anxiety, and nervousness (Birur et al., 2017). For that reason, I need to confirm how many times do you use albuterol inhaler?
3 What about your sleep schedule, is it regular sleep or not? as the patient is suffering from insomnia so I need to know about sleeping schedule.
People in the Patient’s Life
In the present case study, it seems that the patient may not be a trustworthy source to provide accurate information regarding health, medical history, and present condition. The main reason is her mental illness that affects her efficacy. For that reason, the following questions from her family members would be asked.
The question one would be raised from the patient’s family members along with her psychotherapist to get precise information about actual reason for mental illness. Moreover, another question from the patient’s family members/psychotherapist would be the previous medical meetings or psychiatric records to identify the cause of mental issues.
Physical Exams and Diagnostic Tests
1 Physical exam of the thyroid is essential because many patients with mental illness are suffering from thyroid disease. It is recommended to get a diagnostic test report of Thyroid Stimulating Hormone (TSH). As per current research, it partially confirms that a person who is suffering from hypothyroidism shows depressive signs (Jucevičiūtė et al., 2019). The diagnostic report will be helpful to cure thyroid disease for a better mental condition.
2 Physical exam of the heart is necessary for the patient because heart disease can cause depression and anxiety. Another test that is important to confirm is Electrocardiogram (ECG). The patient is suffering from CAD and HTN with possibilities of ca...
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