100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
Case Study: A Caucasian Man with Hip Pain “The patient is a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client repor$12.49
Add to cart
NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology
Exam (elaborations)
Case Study: A Caucasian Man with Hip Pain “The patient is a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client repor
NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology
Institution
University
Case Study: A Caucasian Man with Hip Pain
“The patient is a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client reports that his family doctor sent him for ps...
nurs 6630 psychopharmacologic approaches to treatment of psychopathology
Written for
University
NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology
All documents for this subject (1)
1
review
By: cassidybstoner • 1 year ago
Seller
Follow
solutions
Reviews received
Content preview
Case Study: A Caucasian Man with Hip Pain
Amanda Briand
Date:12/28/2019
NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology
Walden University
, Case Study: A Caucasian Man with Hip Pain
“The patient is a 43-year-old white male presents at the office with a chief complaint of
pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical
interview, the client reports that his family doctor sent him for psychiatric assessment because
the doctor felt that the pain was “all in his head.” He further reports that his physician believes he
is just making stuff up to get “narcotics to get high.”The client reports that his pain began about
7 years ago when he sustained a fall at work. He states that he landed on his right hip.He reports
that he does get “down in the dumps” from time to time when he sees how his life has turned out,
but emphatically denies depression.” (Laureate Education, 2016a).
Decision #1
My first decision was to start this patient on Amitriptyline 25mg po QHS and titrate
upward weekly by 25g to a max dose of 200mg per day (Laureate Education, 2016a). This is a
serotonin and norepinephrine/noradrenaline reuptake inhibitor that can be prescribed for
neuropathic pain/chronic pain, fibromyalgia and for a wide variety of pain syndromes (Stahl,
2013). It boosts neurotransmitters serotonin and norepinephrine/noradrenaline and presumably
desensitizes both serotonin 1A receptors and beta adrenergic receptors (Stahl, 2013).I did not
choose Savella because it is a selective serotonin-norepinephrine reuptake inhibitor (SNRI),
similar to some drugs used for the treatment of depression and other psychiatric disorders
(Wolters Kluwer Clinical Drug Information, 2018b). It is also used for fibromyalgia but I did not
feel it was appropriate to start this patient on a medication for psychiatric disorders when he has
chronic pain in his hip. I did not choose Neurontin because it is commonly prescribed for
neuropathic pain and posttherpetic neuralgia (Stahl, 2013). I did not think it would be an
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller solutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
