i-Human Simulated Clinical Experience-Sarah O’Neil
The chief complain in this case study is on a 23 years old married woman who was
referred by her boss to seek medical attention due to her tearful episodes at work an
...
i-Human Simulated Clinical Experience-Sarah O’Neil
The chief complain in this case study is on a 23 years old married woman who was
referred by her boss to seek medical attention due to her tearful episodes at work and reduced
work performance. Important questions to ask the patient to formulate the History of Present
Illness include asking about the nature of feelings that she experiences such as guilty feelings,
feelings of worthless and also how the patient can rate her reduced interest in work and other
activities that she was initially interested in. It is also important to ask the patient to rate severity
of the symptoms she experiences (Carvalho, Firth & Vieta, 2020). This can be done by offering a
rating scale 1-10 to help in determining how severe the symptoms are.
In this case, it is important to carry out and review a drug toxicology testing. This
examination will help in determining if the patient shows any drug presence in the blood which
could be the reason for her recent change of behavior. It is also important to carry out a safety
and self-care assessment on the patient (Yatham et al., 2018). This examination will entail
evaluating the patient’s suicide and violent risks and also the patient’s ability to undertake her
normal routine activities. The examination will help in determining is there is a need to
hospitalize the patient or not as well as determine the right care plan.
Having a discussion with the patient’s family is also important in helping formulate the
right diagnosis. The discussion will provide information on if the family has a history of any
mental illnesses as well as provide more information on the patient’s conduct while at home. It is
important to discuss with the family the deterioration to self-care as portrayed by the patient
(Carvalho, Firth & Vieta, 2020). Communicating to the family on the patient’s risk to self-harm
is also vital I helping with managing the patient.
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