Verified Document

Differential Diagnosis And Therapy Case Study

Related Topics:

¶ … Night TV Watcher Questions to Ask the Patient

Would you be interested in recording your late night TV shows and watching them in the day if it means you can get to sleep earlier and be more wakeful during the daytime? If not

Would you be interested in asking your morning nurse to arrive later and if she is unable to do so would you be interested in making other arrangements for a nurse who can better accommodate your schedule? If not

Would you be interested in conducting a type of therapy that utilizes your enjoyment of receiving faxes during the day -- something like dignity therapy or spirituality therapy, which can have positive impacts on mood and outlook (Azizi, Azizi, Abedi et al., 2016)?

People to speak with for feedback to further assess the patient's situation would be her son who is devoted to her as well as her morning health assistant who visits her. Identifying and seeking feedback from her friends might also be helpful for determining the state of her social wellbeing. Questions to ask would include: 1) Does the patient signify any desire to talk to others? 2) Does the patient question her existence or why she is alive? 3) Does the patient have a desire to contact or communicate with others?

Physical exams and diagnostic tests that would be appropriate for the patient would include: blood...

Differential diagnoses would include: central nervous system diseases such as Parkinson's, MS, dementia, or endocrine disorders such as hyper- or hypothyroidism. I would also test for OSA by sleep electrophysiology, as this could be linked to depression caused by opioids (Wang, Rowsell, Wong et al., 2016). The most likely differential diagnosis is OSA.
Two pharmacological agents that would be appropriate for the patient's sleep/wake therapy based on pharmacokinetics and pharmacodynamics would be: modafinil and armodafinil as both are non-amphetamine drugs that could be used for the patient during the day to help her feel less tired. I would recommend modafinil as it uses both R. and S. enantiomers (Loland, Mereu, Okunola, 2012). Dosage would be 200mg once a day in the morning.

Therapeutic changes that might I might make based on the data would be based on cardiovascular test results to see if the modafinil is impacting the…

Sources used in this document:
References

Azizi, M., Azizi, A., Abedi, A., Kajbaf, M. et al. (2016). The Effect of Spiritual Therapy

on Hope of Life in Female Students Who Referred to Isfahan University Counseling Center. Psychology7(1): 126-131.

Loland, C., Mereu, M., Okunola, O. (2012). R-modafinil a unique dopamine uptake inhibitor. Biological Psychiatry, 72(5): 405-413.

Wang, D., Rowsell, L., Wong, K. et al. (2016). Identifying obstructive sleep apnea patients vulnerable to opioid induced respiratory depression. American Journal of Respiratory Critical Care Medicine, 193(20): 3-21.
Cite this Document:
Copy Bibliography Citation

Related Documents

Differential Diagnosis for Mrs. Patrick and Give
Words: 1406 Length: 5 Document Type: Case Study

differential diagnosis for Mrs. Patrick and give the most likely probable diagnosis. A review of the case reveals that Mrs. Patrick could be suffering from Fibroblastic rheumatism, Rheumatoid Arthritis, Sarcoid arthropathy, Acute viral polyarthritis or Rheumatoid Arthritis. Fibroblastic rheumatism is noted by Chkirate and Job-Deslandre (2001) to be a very rare disease of an unknown etiology. It however shares certain features of arthritis, nodules as well as arthraglia. The disease causes

Differential Diagnosis for Skin Conditions
Words: 1064 Length: 3 Document Type: Term Paper

Differential Diagnosis 1: Senile Purpura Characteristics using clinical terminologies Senile Purpura denotes RBC (red blood cell) extravasation into the mucous membrane or skin. Thus, purpuric lesions don’t blanch upon pressing with a finger or glass slide (diascopy). The condition has a broad differential diagnosis which may be easily narrowed down through classification on the basis of morphology, and other lab and clinical findings (Soutor & Hordinsky, 2013). Associated clinical terminologies and differential diagnosis

Differential Diagnosis for Crohn's Disease Patient
Words: 1459 Length: 5 Document Type: Case Study

GI Case StudySOAP Note for Visit 1SubjectiveHistory of the present illness: 34-year-old black female presents with complaints of chest pain and leg cramps. She was diagnosed with Crohn�s disease after a colonoscopy was performed due to unresolved rectal bleeding. She was started on Remicade infusions for Crohn�s disease about 3 weeks ago and is currently in remission. She reports no rectal bleeding at present. She quit smoking 3 weeks ago

Differential Diagnosis and Patient Treatment
Words: 871 Length: 3 Document Type: Term Paper

Psychopharmacological Approaches to Treat PsychopathologyThe first question is, how many meals do you have in a day and have lost your appetite? Considering that her BMI indicates she is underweight, we need to establish if she is getting enough food and nutrients for her body. The second question will be, how is your current sleep pattern? The question tries to uncover the patient�s sleep and wake schedule, bedtime routine, and

DSM-IV-TR & Differential Diagnosis the Client, Marie
Words: 684 Length: 2 Document Type: Essay

DSM-IV-TR & Differential Diagnosis) The client, Marie is a single, 25-year-old white female who is employed in an emergency room in a large urban hospital. Marie came to treatment on her own because of an inability to sleep, feeling down, and problems functioning at work. DSM-IV-TR Diagnosis Major depressive disorder Anxiety disorders Eating disorder Sleeping disorder Adjustment disorder Other conditions that may be a focus of clinical attention Axis IV Occupational Problems Other psychosocial problems Axis V Rating Level of Symptoms Transient, slight

Diagnosis of Injures and Development
Words: 1994 Length: 5 Document Type: Case Study

Next, arch your back in the opposite direction, contracting your abs and pushing your lower back toward the ceiling while lowering the top of your head toward the floor. Make sure that all movement is initiated and controlled by your lower back. Repeat three times in each direction. Tail wag- Get down on all fours and look down at the floor. Keeping your shoulders still, slowly push your right hip

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now