E.J. is a 62-year-old Caucasian male who initially presented with new-onset symptoms of psychosis and mood liability thought to be connected with high-dose Prednisone treatment for poison ivy exposure. He was brought to an emergency room by his grandson approximately 11 months ago with extreme agitation. Evaluation of E.J. at that time revealed auditory hallucinations. E.J. noted that the whispering voices had a persecutory tone. He also expressed feelings of paranoia, saying that the voices were plotting against him and that he would not let them win. The patient is currently residing in the secure wing of an assisted living facility.
History
E.J. has a past medical history that includes hypertension, hyperlipidemia, coronary artery disease, chronic obstructive pulmonary disease, peptic ulcer disease, and peripheral artery disease (with stents), but no prior psychiatric history. His mother was diagnosed with schizophrenia.
Assignment Instructions
For your assignment, complete the following information based on the patient information you have been given. Include at least one Internet source and two evidence-based articles in addition to the assigned texts to support your recommendation(s).
- Diagnoses, Differentials, and ICD Code(s):
Provide your recommendations for each (include rule-outs, neurocognitive disorders, dementia and dilerium). - Medications:
Provide your recommended drug therapy, including common side effects and potential or actual adverse drug responses (ADR), common drug and/or food interactions, and key monitoring points. - Psychosocial Issues:
Discuss the psychosocial issues and circumstance(s) surrounding this case. - Variables Related to Aging and Mental Health:
Describe unique patient variables and developmental stages that are involved in the patient’s response to aging and mental health. - Recommendations:
Include non-pharmacological interventions. List any changes in care approaches you would suggest.
Sample Solution
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Geriatric case study
I don’t know how to handle this Health & Medical question and need guidance.
Case Study #3 (Geriatric) Week 6
Geriatrics can be very complicated due to major medical concerns clients may have (age 65 and older). Make sure to choose your medications wisely.
Mini-Case Presentations
Points
Elements
20
Patient Scenario
Patient Demographics
Presenting Problem
Reason for Visit
20
History
Complete Psychosocial including genetics, multigeneraltional family assessment, environment, trauma, culture, ethnicity, spiritual beliefs and practices, coping skills, cognition/mental status, current and past history of violence, suicidal or self- harm behavior, substance use, socioeconomics, developmental stage and level of functioning
Supporting Physical
20
Multiaxial Differential Diagnosis and Rationale
20
Plan of Care
Additional Assessment that is needed, i.e.
o Neurologic exam
o Personality testing
o Lab Tests
Relevant therapist characteristics viewed as herapeutic for this particular patient
Interventions/ Strategies to be used
Emphasis of Treatment, i.e.
o Level of directiveness
o Level of supportiveness
o Cognitive, behavioral or affective emphasis
2.5
Nature of Treatment
o Individual
o Couple
o Family
o Group
1
5
Medications
o Current
o Needed
o Rationale for Choice in Meds
2.5
Adjunct Services
o Consultation
o Community Resources
o Legal advice
o Education
10
Summary and Prognosis
Geriatric case study
I don’t know how to handle this Health & Medical question and need guidance.
Case Study #3 (Geriatric) Week 6
Geriatrics can be very complicated due to major medical concerns clients may have (age 65 and older). Make sure to choose your medications wisely.
Mini-Case Presentations
|
Points |
Elements |
|
20 |
Patient Scenario |
|
|
|
|
|
|
|
|
|
|
20 |
History |
|
|
|
|
|
|
|
20 |
Multiaxial Differential Diagnosis and Rationale |
|
20 |
Plan of Care |
|
|
|
|
o Neurologic exam |
|
|
o Personality testing |
|
|
o Lab Tests |
|
|
|
|
|
|
|
|
|
|
|
o Level of directiveness |
|
|
o Level of supportiveness |
|
|
o Cognitive, behavioral or affective emphasis |
|
|
2.5 |
|
|
o Individual |
|
|
o Couple |
|
|
o Family |
|
|
o Group |
|
1
|
5 |
|
|
o Current |
|
|
o Needed |
|
|
o Rationale for Choice in Meds |
|
|
2.5 |
|
|
o Consultation |
|
|
o Community Resources |
|
|
o Legal advice |
|
|
o Education |
|
|
10 |
Summary and Prognosis |
