*NURSING > DISCUSSION POST > (Answered)Assessing and Treating Patients with Anxiety Disorders / NURS 6630 Week 6 Assignment: Asse (All)

(Answered)Assessing and Treating Patients with Anxiety Disorders / NURS 6630 Week 6 Assignment: Assessing and Treating Patients With Anxiety Disorders_Examined Case Study: A Middle-Aged Caucasian Man With Anxiety

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Assessing and Treating Patients with Anxiety Disorders Student's Name Institutional Affiliation Course Instructor Due Date This study source was downloaded by 100000831988016 from CourseHero.com... on 04-06-2022 01:42:04 GMT -05:00 https://www.coursehero.com/file/84835072/NURS-6630-Week-6-Assignment-Amarachidocx/ 2 Assessing and Treating Patients with Anxiety Disorders Introduction The patient is a 46-year-old white male who reports to the emergency room complaining of shortness of breath, chest tightness, and feeling of impending doom. The patient's PCP refers him to me, and he indicates that he has some mild hypertension that is treated with a low sodium diet. After reviewing the patient, he is diagnosed with a generalized anxiety disorder. The patient's Hamilton Anxiety Rating Scale (HAM-A) score of 26 is in the borderline of moderate and high anxiety severity. He is also slightly obese, with about 15lbs. overweight. The patient had his tonsils removed when he was eight years old but has had an unremarkable medical history since that time. At the ER, myocardial infarction was ruled out, and his EKG was normal. The rest of his physical exam was within normal limits. The patient's social history predisposes him to the diagnosis of generalized anxiety disorder. He reports that the management at his workplace is harsh, and he fears for his job. The client is single and is attempting to take care of his aging parents in his home. To combat the worries about work, the patient drinks three to four beers every night. He struggles with the work-life balance since he has to put up with the pressure at work and still take care of his parents. The symptoms have since aggravated, and the patient reports feelings of impending doom. However, he reports that he has never been on any type of psychotropic medication. The client is alert, oriented to person, place, time, and event, and appropriately dressed. His speech is clear, coherent, and goal-oriented. Affect is somewhat blunted but does brighten several times throughout the clinical interview. His HEENT assessment is normal. Decision #1: Begin Zoloft 50 mg orally daily This study source was downloaded by 100000831988016 from CourseHero.com on 04-06-2022 01:42:04 GMT -05:00 https://www.coursehero.com/file/84835072/NURS-6630-Week-6-Assignment-Amarachidocx/ 3 The symptoms presented by the patient informs the decision to begin the patient on Zoloft 50 mg. The Hamilton Anxiety Rating Scale score of 26 is significantly high (Hamilton, 1959). If the client had a lower score, I would have reduced the dosage to 25 mg orally daily. Secondly, the patient was diagnosed with mild hypertension. However, he has opted to manage the condition with a low sodium diet. It is important to consider the side effects of the drugs when treating this patient that do not ag [Show More]

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