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Effective patient clinician communication
The importance of research
The importance of research
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Recommended: Effective patient clinician communication
Thinking Like a Clinician
1. Is this enough information to determine whether she has panic disorder? While a n excellent clinician will need more information to determine the etiology, treatment, and implications of the disorder. It is safe to consider that she is suffering from panic attacks. It is safe to said, because there is a pattern or recurrence and not an isolated incident.
• If it is, does she have the disorder? Again since she is coming to us as clinicians with a diagnosis; and we know that there recurrence, one can consider safe to start treating this patient with this initial diagnosis. However, there should be several sessions of therapy, lab test, and reviewing her health’s history before, one can prescribe any medication.’
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Of course to start a full treatment, which possible will include medications, one needs to know, if she developed behavioral changes such as being isolated or having trouble to enjoy their hobbies. Moreover, one should know about her symptoms during the attacks. For instance is important to know, I she has racing heart, chill, sweating, feeling dizzy or week, tingling or numbing sensations. More importantly is to know is she endures sense of terror, and is afraid of being in danger without a valid reason.
Now suppose that Fiona starts missing Monday classes because of panic attacks on those days. She also stops going to parties on weekends because she had a couple of panic attacks at parties and feels that she lost control over her actions. .
2. Would you change or maintain your answer about whether she has panic
She had a two week history of feeling generally unwell, complaining of tiredness and lethargy. She had no other significant symptoms. Her past history includes well controlled asthma and anxiety. She was a smoker of 20 cigarettes per day. She was taking amitriptyline, Symbicort (budesonide and formoterol inhaler). She had no significant family history of medical illness and had no clinical findings on examination. Blood tests showed corrected calcium of 4.22mmol/L (NR 2.20 -2.60) with suppressed paired PTH of 1.45pmol/L (NR1.60- 6.9). Her renal function was initially impaired, but normalized with rehydration. Her liver function tests, full blood count, vitamin D, myeloma screen and serum ACE levels were all within normal limits. Ultra sound scan (USS) of kidneys, USS of parathyroid and computerized tomography (CT) of thorax, abdomen and pelvis were all reported as normal with no cause found for her
... of the treatment methods that I previously mentioned. She also put a great deal of effort into resisting treatment, which in my research I found is actually fairly common. Several studies reported that, although symptom remission could be obtained for 27% of patients within 4 weeks and 45% within 5 years following treatment initiation, 20– 30% of patients reached a treatment-resistant status on the other side. (Kanahara, et al., p. 1)”
living in such a manner. I did not know the exact cause of her anxiety
About the second diagnosis, the reason I believe she has symptoms of illness anxiety disorder, not somatic symptom disorder, is that she has no severe physical symptom l...
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
According to the Case Management Society of America, case management is "a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes" (Case Management Society of America [CMSA], 2010). As a method, case management has moved to the forefront of social work practice. The social work profession, along with other fields of study, recognizes the difficulty of locating and accessing comprehensive services to meet needs. Therefore, case managers work with these
Severe anxiety, which can be described as an episode of terror, is referred to as a panic attack. Panic attacks can be extremely frightening. People who experience panic attacks over a prolonged time period may become victims of agoraphobia, which is a psychiatric disorder that is closely associated with the panic disorder. Patients with Agoraphobia avoid certain places or situations such as airplanes, crowded theaters, a grocery store or anyplace from which escape might be difficult. It is said that Agoraphobia can be so severe that it has made certain individuals housebound.
As the disease progresses, we have noticed that the stages; mid and severe are not clearly defined, in fact she can experienced different stages throughout the day.
The onset of Panic Disorder can begin in between late adolescents and mid 30’s, 3-5% of people can develop this disorder with it being more prevalently developed in women....
It is evident that Lisa is subjected to medication and hospitalization for her treatment. However, this method of treatment was not effective for her, because despite her being hospitalized for the last eight years; she still does not take her medicine. Since for those eight years no significant changes have been made following her diagnosis, another mode of treatment would be advisable. I would recommend the self-help strategies. Although many healthcare providers overlook this treatment method, it seems to be very
Through assessment, I have come to the understanding that these symptoms come from an underlying issue of abandonment. She is experiencing a negative cognitive shift where she has trouble seeing anything positive about herself leading to a lack of appetite. She is showing significant symptomology of an eating disorder, this coinciding with her high levels of irrational thoughts and faulty cognition (Lask, 2000). Her eating disorder has led to the problematic behaviors of panic disorder and it has to be dealt
Panic disorder is very treatable and can be treated either by cognitive behavioral therapy, medication, or a combination of both. Cognitive behavioral therapy consist of talking about how the patient is feeling during a panic attack, and also putting the person in a stressful situation and helping them v...
The purpose of this paper is to analyze, diagnose, and to determine a proper treatment plan to work toward the beneficial prognosis for the individual indicated within the case study.