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What is the current outcome?

by | Nov 12, 2022 | Healthcare

 

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1) The patient is a 58-year-old woman diagnosed with major depression, presented to the clinic for medication follow-up. When asked if she had had any changes since the last visit a month ago, she reported having severe mood swings that worsened when her prednisone was increased due to a flare-up of rheumatoid arthritis. She had episodes of elevated or irritable mood, increased energy, decreased sleep, and racing thoughts. She said she had previously experienced mood swings, but this was new and different. She said her depressive symptoms have been managed well in the last year and did not interfere with her activities. Her son contacted her PCP, explained the symptoms, and the PCP tapered the prednisone to her initial dosage. She reports he was back to her baseline in a week.
2) Write about a continuation of a situation that you faced earlier in your clinical. How has the situation evolved? What have you done to guide the relationship? What interventions and so on have you tried? What is the current outcome? What are your goals with this patient? Provide justification and reasoning for your actions. This commentary should include reference to relevant course content or research.
3) Please concentrate a little more on the reflection. What do you think about the PMHNP’s function? How is this influencing your potential as a PMHNP?

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