PRAC 6665 Week 7 Assignment 2; Focused SOAO Note and Patient Case Presentation

HPI: The client is a 69-year-old female referred for esketamine treatment for her major depressive disorder. After multiple treatment failures, she has decided to try esketamine treatments. She has a longstanding history of major depressive disorder and idiopathic hypersomnia. She reports feeling depressed in the morning immediately upon wakening, stating, “I just don’t want to get out of bed. I have to push myself.” She finds herself having poor concentration, lacking energy and motivation to do anything during the day. She cannot finish tasks around her home and states, “I will start things but then just can’t seem to finish them.” She has lost touch with her friends, and since Covid has stopped volunteering at the animal shelter where she rescued her two dogs. She spends most of her concentrating on factors that depress her at home. She has been diagnosed with hypothyroidism and multiple sclerosis, which has left her with some gait issues, requiring a cane for ambulatory assistance. Today she rates her depression 7/10 and denies anxiety, stating, “I am never anxious, just always depressed.” She denies suicidal ideations, homicidal ideations, auditory and visual hallucinations...