+1 650 405 4067
Scoring Instructions- Screening Tools
WEEK THREE INSTRUCTOR
Order Description
She does it to all of us. On every single post. And there’s nothing wrong with how the rx is written. I’m sorry for bringing her “sunshine” into your world : ) Hi Pamela, Thanks for being the first to post on this discussion post.Good effort!!!I have a few suggestions to inspire deeper critical thinking. The question asks Score KF using both of your chosen screening tools based on the information provided (not all data may be provided, those areas can be scored as not present). Pay close attention to the listed symptom time frame for your chosen assessment tool.? In your response include what questions can be score, and your chosen score.? Interpret the score according to the screening tool scoring instructions. Finally assume that any question topics not mentioned are not a concern at this time.
You wroteI used information from the case to score the two screening tools. While the PHQ-9 tool has nine questions, I scored only some of the questions. My chosen score for the first item was 3 because KF reported “not wanting to go out” or “doing anything. And these symptoms were present for months. For the third item, my chosen score was 3 (nearly every day) because KF felt not rested when waking up. And she reported trouble sleeping in the last three months. I assign a similar score (3) to item four since KF report having little energy and feeling tired for roughly three months. KF also indicated she was not feeling hungry or eating regularly and had a poor appetite for three months leading to weight loss, and this resulted in my chosen score of 3 for item five. I could not score items two, six, seven, eight, and nine because the information furnished was inadequate.
Further Scoring Instructions
For the GAD-7, I could not score most of the items using the information provided other than the item on feeling anxious, which I chose a score of two (more than half the days).:You DID NOT answer the question.For PHQ9-You DID NOT list all the 9 questions .For GAD,you did not list the questions and did not score them. For your next step, you wrote:The next step for the evaluation would be to ask KF additional questions to gather more information on her condition. I would, therefore, administer the PHQ-9 and GAD-7 tools to help in this step.
Based on KF’s anxiety and depressive symptoms, her mental health differential diagnoses include major depressive disorder, anxiety, as well as, adjustment disorder with depressed mood. Chronic fatigue may be a potential physical health differential diagnosis for KF as she reported daily fatigue.This does NOT answer the question. Given that there are several disease states that can mimic depressive symptoms such as hypothyroidism, pernicious anemia, electrolyte imbalances,etc Would it be necessary to rule out these underlying causes? A provider is like a detective. You have to search and dig deep. Check other medical conditions like diabetes,etc be to rule out any medical underlying causes?.
Why or why not? Also, according to Hollier (2016) differential diagnosis for depression include B12 deficiency, organic brain diseases, liver failure, renal failure, diabetes, medication abuse and medication withdrawal. Consequently for this question: What medication or treatment is appropriate for KF based on her screening score today?.
Provide the rationale.
Any medications should include the medication class, mechanism of action of the medication and why this medication is appropriate for KF.Include initial prescribing information.You wrote:I would recommend fluoxetine (Prozac) 20mg PO qDay Sig: 1 tablet daily disp# 30 refills# 4 This is incorrect medication format. What about: Amoxicillin 500 mg capsule? 1 tab po BID q 10 days? Disp #20 no refills Any follow up plan for KF? Reference: Hollier, A. (2018). Finally clinical guidelines in primary care (3rd ed.). Advanced Practice Education Associates Dr.Ofodile
Attached Files
|
