Reference no: EM133656964
Assignment:
Josh is a 27-year-old male who recently moved back in with his parents after his fiancée was killed by a drunk driver 3 months ago. His fiancée, a beautiful young woman he'd been dating for the past 4 years, was walking across a busy intersection to meet him for lunch one day. He still vividly remembers the horrific scene as the drunk driver ran the red light, plowing down his fiancée right before his eyes. He raced to her side, embracing her crumpled, bloody body as she died in his arms in the middle of the crosswalk. No matter how hard he tries to forget, he frequently finds himself reliving the entire incident as if it was happening all over.
Since the accident, Josh has been plagued with nightmares about the accident almost every night. He had to quit his job because his office was located in the building right next to the little café where he was meeting his fiancée for lunch the day she died. The few times he attempted to return to work were unbearable for him. He has since avoided that entire area of town.
Normally an outgoing, fun-loving guy, Josh has become increasingly withdrawn, "jumpy", and irritable since his fiancé's death. He's stopped working out, playing his guitar, or playing basketball with his friends - all activities he once really enjoyed. His parents worry about how detached and emotionally flat he's become.
The diagnosis is Posttraumatic Stress Disorder 309.81 (F43.10)
- Do you agree with the diagnosis? Explain how the patient meets/does not meet the criteria for your choice?
- What treatment(s) will you choose for this patient?
- If you choose a pharmacological intervention, write out the prescription for your choice.
- What teaching information is important for this client? Think about common and serious side effects.
- What are your follow-up plans?