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NR 566 I Human Jane middle-aged female Week 7 Case St
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NR 566 I Human Jane middle-aged female Week 7 Case Study
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lOMoARcPSD|45010774566 Wk7 Managementof Psychiatric Conditionsin Primary
Care C Charbonneau
Advanced Pharmacology - Care of the Family (Chamberlain University)
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, lOMoARcPSD|45010774
Include the following sections:
1. Patient chief complaint- I have been struggling in my personal life. I have been
having increased mood swings daily. I find myself constantly worrying about my school
assignments. I cannot get my mind to shut off and am losing sleep over stressing about my
assignments. I feel like I don’t have control over my emotions. I feel like I am on edge with
everyone in my life. I struggle to get focused on everyday tasks. I have been struggling with all
of these for almost a year.
2. History of present illness- Jane presents to the clinic today with noticeable
trembling and hypervigilance. Jane is a middle-aged female that works as a auditor at the county
office. Jane presents with complaints of insomnia and increased mood swings. Jane is struggling
with focusing on daily-to-day activities. Jane reports being on edge with those in her life. Jane
reports these symptoms starting almost a year prior to coming in for visit. Jane also reports
constant headaches over the past 2 weeks. Jane reports negative quality of life since symptoms
have started. Jane has started having troubles at work, not being able to complete tasks asked of
her. Jane has discussed taking a leave of absence from her current employer due to her struggles.
The insomnia has become troublesome due to her not being able to relax at bedtime. She reports
feeling worse some nights because she lays for extended periods of time without relaxing and
falling asleep, creating more worrisome thoughts to occur. Jane was recently provided with a
prescription medication to aid with sleep but states she has not had positive results; Jane reports
the name of this medication is Zaleplon. Jane believes her headaches have worsened due to lack
of sleep and constant worrying.
3. Social history – Jane reports being the mother of five, currently engaged to
significant other. Jane reports previous relationship ended after multiple episodes of physical and
emotional abuse. Jane reports never smoking, has never vaped, and drinks 1-2 alcoholic
beverages a week. Jane reports increasing her coffee intake over the past month, increasing to 3-
4 cups a day.
4. Family medical history – Mother-alive- history of depression, hyperthyroidism.
Dad-alive- atrial fibrillation, diabetes type II. Sister-alive-no known medical history. Sister-alive-
hypertension. 5 children at home- no known medical history.
5. Past medical history- Depression, hypertension, obesity, headaches, fracture of
distal radius.
6. Medications currently taken- Vitamin D- 2,000 units daily, Metoprolol- 25mg
daily, Ibuprofen- 400mg PRN, Tylenol- 1,000mg PRN.
Include specific drug names (not drug class), dose, frequency
7. Medications you will prescribe to address current situation.- Escitalopram- 10mg
daily and adjust up to 20mg daily per patient tolerance(Rosenthal et al., 2021).
Both nondrug therapy and medication can be used to treat generalized anxiety disorder.
Supportive therapy, cognitive behavioral therapy, biofeedback, and relaxation training are
examples of non-drug approaches. Patients with mild symptoms benefit from these methods. The
healthcare provider may want to begin pharmacological therapy if symptoms persist and cannot
be managed with nondrug treatment. To assist in the management of generalized anxiety
disorder, healthcare providers are able to prescribe both first-line and second-line medications.
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