Fill in Order Details

  • Submit paper details for free using our simple order form

Make Payment Securely

  • Add funds to your account. There are no upfront payments. The writer will only be paid once you have approved your paper

Writing Process

  • The best qualified expert writer is assigned to work on your order
  • Your paper is written to standard and delivered as per your instructions

Download your paper

  • Download the completed paper from your online account or your email
  • You can request a plagiarism and quality report along with your paper

What would the focused clinical assessment include?This writer’s clinical assessment would be focused on symptoms of depression. The history is key in diagnosing. Feeling depressed can be a normal r

What would the focused clinical assessment include?

This writer’s clinical assessment would be focused on symptoms of depression. The history is key in diagnosing. Feeling depressed can be a normal reaction to loss, life’s struggles or an injured self-esteem. Patients should be asked questions that leads to them expressing symptoms such as complaints of feeling fatigued, irritability, and social withdrawal. Assessment of the patient hygiene and mood should be completed. These patients normally have a flat affect and poorly dressed. There are two questions that provide a preliminary screen for depression. The patient is first asked if he or she has felt down or hopeless over the past month and then asked if there has been little interest in doing things over the past month (Dunphy, Winland-Brown, Porter, & Thomas, 2015).

What are the differential diagnoses?

A careful history and physical must be done due to the many medical and neurological disorders and pharmacological substances can produce depression symptoms. Neurological disorders such as Parkinson’s which accounts for 50%-70% of depressive symptoms, Dementia, Multiple Sclerosis, and cerebrovascular accident (CVA). Endocrine disorders such as hypo and hyperthyroidism and mental disorders such as schizophrenia and eating disorders are amongst those displaying depressive symptoms. There also can be drug related issues such as cocaine abuse and central nervous system (CNS) depressants.

What major psychological question needs to be addressed?

There are many different test that can be given to determine whether a patient has depression or a differential diagnosis. A major question that can be asked, “In the past two weeks how often have you felt down, depressed or hopeless?”  Feeling down for more than half the days or nearly every day over the past two weeks suggests depression (Lliades, 2016).

What testing should be ordered to rule out medical problems?

Test can be done to rule out other medical conditions that might cause depression symptoms. Testing of the thyroid and adrenal function can be done. Assessment of patient medication to rule out substance abuse is also done. The most important test is called the DSM-5. This test states that if five of the symptoms that are listed on the criteria and are present for 2 weeks then the patient can be diagnosed with depression.

Plan of Care

The plan of care for the patient includes remission of symptoms. Remission is defined as an absence of depressive symptoms or a PHQ-9 score of less than 5, and this is the goal of therapy. Treatment will also begin with pharmacological and nonpharmacological interventions. A referral to a therapist can also be ordered to help the patient get through the depression.

Mainstay of Treatment

Treatment consist of the selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), norepinephrine reuptake inhibitors (NRIs), tricyclic antidepressants (TCAs), and dopamine agonists (DAs) are the first line of treatment. Non-pharmacological treatment include behavioral therapy with combination of psychotherapy can also be beneficial to the patient.

Follow Up Plan

Follow up treatment is necessary to assess adherence to therapy. The patient at 6 weeks should experience a 25% reduction in baseline symptom severity. Initially the patient should be seen one to two weeks after initiation of medication therapy than once in the succeeding four to eight weeks. If patients remain symptom free patients can be treated for 15 months to five years.

Patient Education

It is important that practitioner teach the patient to report the symptoms such as irritability, agitation and suicidal ideation. Emergency hotline numbers should be given in case the patient symptoms emerge. Patient and family should be educated regarding the signs and symptoms and also what to do in this case.

References

Dunphy, L., Brown, J., Porter, B., & Thomas, D. (2015). Primary Care: The Art and

Science of Advanced Practice Nursing. Philadelphia: F.A. Davis Company

Lliades, C. (2016). 5 Questions Doctors Ask When Screening for Depression. Retrieved

from www.everyda (Links to an external site.)Links to an external site.yhealth.com

WHAT OUR CURRENT CUSTOMERS SAY

  • Google Rating
  • Sitejabber
  • Trustpilot
Cindy L
Cindy L
You can't fault the paper quality and speed of delivery. I have been using these guys for the past 3 years and I not even once have they ever failed me. They deliver properly researched papers way ahead of time. Each time I think I have had the best their professional writers surprise me with even better quality work. Elite Academic Research is a true Gem among essay writing companies.
Samuel Y
Samuel Y
I really appreciate the work all your amazing writers do to ensure that my papers are always delivered on time and always of the highest quality. I was at a crossroads last semester and I almost dropped out of school because of the many issues that were bombarding but I am glad a friend referred me to you guys. You came up big for me and continue to do so. I just wish I knew about your services earlier.
Mindi D
Mindi D
Brilliant writers and awesome support team. You can tell by the depth of research and the quality of work delivered that the writers care deeply about delivering that perfect grade.
Stuart L
Stuart L
Thanks for keeping me sane for getting everything out of the way, I’ve been stuck working more than full time and balancing the rest but I’m glad you’ve been ensuring my school work is taken care of. I'll recommend Elite Academic Research to anyone who seeks quality academic help, thank you so much!
Zahraa S
Zahraa S
Absolutely spot on. I have had the best experience with Elite Academic Research and all my work have scored highly. Thank you for your professionalism and using expert writers with vast and outstanding knowledge in their fields. I highly recommend any day and time.

ORDER NOW

Consider Your Assignments Done

“All my friends and I are getting help from eliteacademicresearch. It’s every college student’s best kept secret!”

Jermaine Byrant
BSN

“I was apprehensive at first. But I must say it was a great experience and well worth the price. I got an A!”

Nicole Johnson
Finance & Economics

Our Top Experts

————-

See Why Our Clients Hire Us Again And Again!


OVER
10.3k
Reviews

RATING
4.89/5
Avg Rating

YEARS
12
Experience

Elite Academic Research Promises You:


Always on Time

If we are a minute late, the work is on us – it’s free!

Plagiarism-free

If the work we produce contains plagiarism we’ll pay out a £5,000 guarantee.

Quality

Providing quality work is core to our beliefs, which is why we will strive to give you exactly that, and more!

Written to Standard

All of our assignments go through a stringent quality checking process from start to finish.

Success Guarantee

When you order form the best, some of your greatest problems as a student are solved!

Reliable

Professional

Affordable

Quick

Short Answers To Common Questions

[ultimate-faqs]

YOUR EDUCATION ON AUTOPILOT

Pay an expert to take your online class and say goodbye to poor grades, missed deadlines, and the struggles
of balancing your education with other work/life responsibilities. Life Is too Short to Spend on Classes
You Have No Interest In. Focus on what is really important in your life. Let our professional handle your class.

    Guaranteed A or B

    100% Confidential

    Experienced Tutors

    24/7 Support

Fill in free quote request

Tell us about your online class and what help you need. Try to give us the maximum information.

Agree on price

Our representative will contact you to discuss the details of your order and the rates for our assistance.

Pay and get help

When everything is agreed, you will receive an email with the invoice. After you pay, we start working on your task.

error: Content is protected !!