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NURS 6630 Week 8 Assignment 2: Assessing and Treating Patients with Sleep/Wake Disorders (Solved) $12.49   Add to cart
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NURS 6630 Week 8 Assignment 2: Assessing and Treating Patients with Sleep/Wake Disorders (Solved)
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NURS 6630 Week 8 Assignment 2: Assessing and Treating Patients with Sleep/Wake Disorders (Solved) (Solution) NURS 6630 Week 8 Assignment 2: Assessing and Treating Patients With Sleep/Wake Disorders BACKGROUND This week, we examine a 31-year-old male who presents to the office with a chief complain...

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  • April 21, 2022
  • 7
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 6630
  • week 8
  • assignment 2
  • nurs 6630 week 8 assignment 2
  • assessing and treating patients with sleepwake disorders
  • 31 year old male who presents to the office with a chief complaint of insomnia

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  • NURS 6630
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Case Study: A 31-Year-Old Male with Insomnia




Master of Science in Nursing, Walden University

NURS 6630




Examine Case Study: A 31-Year-Old Male with Insomnia

Introduction


This study source was downloaded by 100000829216747 from CourseHero.com on 04-21-2022 03:30:22 GMT -05:00


https://www.coursehero.com/file/100082347/WK86630docx/

, 2


In this case study, we will be assessing and treating a 31-year-old male with insomnia.

His insomnia started about 6 months ago when his fiancé passed away suddenly, and it has been

getting worse. He is a forklift operator, and he states his work life is also affected as well because

he is unable to perform well from being so sleepy and sometimes falls asleep on the job. He has

tried over the counter medications such as diphenhydramine to help him sleep but does not like

the feeling he gets from taking it. He has history of opiate abuse when he was prescribed

hydrocodone/acetaminophen, but he has not received a prescription for that for 4 years. Patient

admits to drinking daily recently to help him fall asleep, he drinks about four beers a night.

His mental exam is normal, he is oriented, and judgement and insight are intact. He

denies suicidal or homicidal ideations, no auditor/visual hallucinations. No further tests or

workup was done. His diagnosis was insomnia. When prescribing medication to this patient it is

important to keep in mind that he has history of drug abuse and is currently a daily drinker. Our

goal in his treatment is to go to sleep and stay asleep through the night, have a better night’s rest,

to not be tired in the mornings, and to not have to rely on alcohol to put him to sleep. With

medication therapy, you would want to consider the therapy that will have the least side effects

and the most benefits to him.

Decision One

As the Psychiatric Mental Health Nurse Practitioner (PMHNP), I would pick from my

three choices of medications to start: Zolpidem 10 mg daily at bedtime, Trazodone 50-100 mg

daily at bedtime, Hydroxyzine 50 mg daily at bedtime. Our goal here is to find the therapy that

shows at least a little improvement in his sleep cycle, and that the patient tolerates it. I would

choose to start this patient on Trazodone 50-100mg. I would start him at a lower dose of 50 mg

and advise him to take 100 mg after 2 weeks if 50 mg is tolerable. The reason I chose to start him




This study source was downloaded by 100000829216747 from CourseHero.com on 04-21-2022 03:30:22 GMT -05:00


https://www.coursehero.com/file/100082347/WK86630docx/

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