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Anxiety Case Study

NU643 Advance Psychopharmacology

Week 8 Assignment   

Anxiety Case Study

Instructions

 

In this assignment, you will review the Anxiety Interactive Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to support your work.

 

Use the Anxiety Case Study Questions (Word) document to complete the case study assignment.

 

Follow the requirements posted in the rubric.

 

Interactive case studies should be three to five pages, excluding title and references pages.

 

All papers must conform to the most recent APA standards.

 

Instructions

 

This case study consists of one hypothetical patient situation.

 

Select the Patient Information tab. Within this tab, you will be able to watch a video to gain more insight regarding the patient as well as view important patient details.

 

For this assignment, you will address a series of questions regarding the care of the patient. Your answers should include specific reference to relevant guidelines and other clinical information. The national guidelines should also be considered with treatment plans.

 

When you are done viewing the patient information, download the Case Study Assignment (Word) document from the assignment page in Moodle. Use this document to complete the assignment and then submit it to the assignment page.

 

Anxiety Case Study Transcript

 

Chief Complaint:Katie Adams is a 19-year-old Caucasian female here and states, “I worry about everything all the time.” “I can’t ever sleep, and I feel anxious and nervous at school and work.” “I cry often for no reason.”

 

History of Present Illness:

 

Onset:Following move to out-of-town college, worsening over the past 3 months of being away from home and the stress of transitioning to college.

 

Location:Heart races, shortness of breath, sweating, headaches, dizzy.

 

Duration:Daily, lasts 2 to 4 hours then subsides, begins around 10 a.m. before first class starts at 10:30 a.m.

 

Characteristics: Worsens with attending large size classes, peers and roommates pressure to go out socially and drink, difficulty sleeping, avoids some classes, chest tightness often and shortness of breath.

 

Aggravating: With increased stress, crowds, when worrying about completing assignments or making good grades.

 

Relieving: Reading fiction, marijuana, sometimes a beer (1–2), staying in room alone when roommates go out.

 

Temporal: Worse in morning before classes and worse before bedtime.

 

Severity: I hate how I feel, it’s horrible.

 

Differentials: List the three most likely differential diagnoses based on her objective findings, with cited rationale.

 

What is the etiology/pathophysiology associated with each diagnosis?

 

What is the prevalence of each of these diagnoses?

 

Develop a plan of care for each of the three differential diagnoses, including the following:

 

Diagnostic testing

 

Pharmacologic interventions, including dosage, route, and frequency

 

Nonpharmacologic interventions, including modality and frequency

 

Education, including health promotion, maintenance, and psychosocial needs

 

Safety plan

 

Referrals required

 

Follow-up, including return to clinic (RTC) in what time frame and reason, including any labs needed for next visit

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