Reference no: EM133275998
Case study
46 year- old white male work as a welder at a local steel fabrication factory. Referred by his PCP after a trip to the emergency room wherein he felt he was having a heart attack. Patient reported he felt chest tightness, feeling of impending doom, with SOB. Patient with history of mild hypertension. EKG at the ER was normal. MI was rule out. Physical exam within normal limit. Patient report he takes 3-4 bears each night. And he cares for his aging parents in his home. Patient report harsh management at his place of employment. HAM-A yields a score of 26
Patient mental status AAOx3, speech clear, coherent and goal directed. Patient mood is bleh and felling nervous.
Select what decision
Begin Paxil 10 mg po daily
Begin imipramine 25 mg po BID
Begin Buspirone 10 mg po BID
Give brief explain and summarize the case for the assignment
Decesion #1
What decision will you select?
Why you select this decision? Support response with specific clinical resources/primary literature
Why did you not select the other two options provided in the exercise?
What were you hoping to achieve when you make this decision?
Explain ethical considerations that may impact your treatment plan and communication with this patient. Provide specific examples.
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Assess quarterly patient perceptions on quality of care
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Principal owing when the mortgage comes up for renewal
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What were you hoping to achieve when you make this decision
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Ethical practice in the context of work role
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What is yun amortization current year
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