Review the case learning resources

Reference no: EM133473427

Discussion Post

Insomnia is one of the most common medical conditions you will encounter as a PMHNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PMHNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient's mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.

Reference: Abbott, J. (2016). What's the link between insomnia and mental illness? Health.

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient's health needs.

Case: An elderly widow who just lost her spouse.

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband's death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:

1. Metformin 500mg BID
2. Januvia 100mg daily
3. Losartan 100mg daily
4. HCTZ 25mg daily
5. Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86.

Reference no: EM133473427

Questions Cloud

Discuss your life here in los angeles in 1915 : Discuss your life here in Los Angeles in 1915. Take me on a tour of your day and what your life is like (this can include taking the pacific electric railway

What were some of the most important reform efforts : What does the Progressive era refer to? Why was this necessary? What were some of the most important reform efforts of this period

What have been the most important events : What have been the most important events that started the founding of the United States of America?

Why do they have to come from the vc library : Why do they have to come from the VC Library? Because that is the whole point--to practice using an academic library. Everyone already knows how to use Google

Review the case learning resources : review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to

Describe plausible recommendation for release of nonviolent : In addition, describe in detail a plausible recommendation for the release of nonviolent, low-risk elderly prisoners?

How can you see signs- signifiers and signifieds : How can you see signs - signifiers and signifieds - in a person's nonverbal behavior? How about your own use of nonverbal signs?

Why display rules important for intercultural communication : Why are display rules important for intercultural communication? What is the link between following display rules and attribution?

What should be the main goal of charity : How does this show Carnegie to have been a typical robber baron and How does this show Carnegie to have been an atypical robber baron?

User Account

All Pages