Nervous System Case Study Paper

Nervous System Case Study Paper

A 30 year old Marsha Lansing presented reporting of daily headaches, irritability, and sadness, difficulty concentrating and getting out of bed some days, as well as having stressful home life with constant worries about family, finances, work, home and pets. A physical exam, blood work, and PHQ-9 patient depression Questionnaire was provided. Ms. Lansing physical and blood work WNL was performed to rule out other medical conditions. Ms. Lansing completed the PHQ-9 Depression and screening there were 5 in the shaded area indicating Major Depression. I provided to her a diagnosis of Major Depressive Disorder, as outlined by the DSM5 (2013). There are so many different type of treatment for depression, so it is possible you may see different physicians for different treatments. I as your Primary Care Practitioner I will prescribe you antidepressants. These medications are designed to elevate your mood and ease your sadness. It is important for you to know that it takes time for the antidepressant to have its full affect about a month. The antidepressants work with three chemicals in your brain norepinephrine, serotonin and dopamine, often with depression you might have difficulty with theses chemicals, a brain that has depression does not uptake these chemical properly.

The medication helps the chemicals work properly and can improve your mood. There are several different types of antidepressants, the most common and the one that I will be prescribing is called selective serotonin reuptake inhibitors or SSRI’s. I have chosen Escitalopram (Lexapro ) 10 mg daily, to be taken at the same time each day. While we wait for a blood level of your medication, which can take a month, there are other treatments available to help you with your depression. Talking with a professional about what is

happening in your life through psychotherapy. This type of therapy means you will meet with a psychiatrist, psychologist, and social worker or other trained mental health professional. They will assist you and teach you new ways to address challenges and change the way of thinking about certain situation that depression affects. Exercise has also proven as a extremely beneficial treatment along with medicine and psychotherapy. Another treatment that can ease your depression is your diet. A diet that is high in nutrients, antioxidants, and vitamins. I would also provide patient education regarding Lexapro and potential side effects according PubMed Health, U.S. national Library of Medicine (Depression 2010): severe side effects to Lexapro include allergic reactions such as skin irritation or generalized hives, swelling of the face, mouth, and extremities, a feeling of a thickened tongue, difficulty swallowing or speaking, chest tightness, difficulty breathing, a feeling of doom and gloom, restlessness, increased sweating, fever, nausea, vomiting, diarrhea, seeing or hearing things that are not there, muscle spasms, confusion or fuzzy thoughts, muscle weakness and twitching, eye pain, seeing aura around objects, increased heart rate , palpitation, or feeling a skip beat, racing thoughts, insomnia, seizure, thoughts of hurting self or others, unexplainable bleeding or bruising. These side effects must be reported to me right away and be seen at the clinic.

I also would encourage Ms. Lansing to speak to me if she is experiencing less serious side effects such as dizziness, drowsiness, dry mouth, headaches, nausea , constipation, diarrhea, or sexual problems. I would further educate Ms. Lansing that Lexapro should not taken with any other MAOIs as this interaction could lead to an increased bleeding risk as well as Serotonin Syndrome that could be life-threatening. I educated Ms. Lansing the need to take Lexapro and that I would continue to monitor for side effects , and for her to plan to return to the clinic in 4 weeks to discuss the progress of the medication and treatment plan.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

References

American Psychiatric Association. (2013). Diagnosis and statistical manual of mental disorders DSM-5. Washington, D. C: American Psychiatric Association.

Depression: The treatment and Management of Depression in Adults. NICE Clinical Guidelines, No. 90. National Collaborating Centre for Mental Health (UK). Leicester (UK) : British Psychological Society; 2010.

Lowe B. Kroenke K. Herzog W, Grafe K. Measuring depression outcome with a short self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9). J Affective Disorders. 2009: 78: 131-140.

Medscape (2017). Retrieved February 9, 2018. Retrieved from: http://reference.medscape.com/