100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NURS 6630 Week 7 Discussion Case 1: Volume 2, Case #16: The woman who liked a late-night TV (Answered 2022) $10.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. NURS 6630
  4.  
  5. NURS 6630

Exam (elaborations)

NURS 6630 Week 7 Discussion Case 1: Volume 2, Case #16: The woman who liked a late-night TV (Answered 2022)
 6 views  0 purchase
  • Course
  • NURS 6630
  • Institution
  • NURS 6630

NURS 6630 Week 7 Discussion Case 1: Volume 2, Case #16: The woman who liked a late-night TV (Answered 2022) NURS 6630 Week 7 Discussion Case 1: Volume 2, Case #16: The woman who liked a late-night TV The patient is a 70-year-old woman who exhibits symptoms of depression due to loneli...

[Show more]

Preview 2 out of 6  pages

Document information

  • May 10, 2023
  • 6
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 6630 week 7 discussion case 1 volume 2
  • case 16 the woman who liked a late night tv answered 2022 nurs 6630 week 7 discussion case 1 volume 2
  • case 16 the woman who liked a late night

Written for

  • NURS 6630
All documents for this subject (1357)

Seller

avatar-seller
LectDan

Reviews received

Content preview

NURS 6630 Week 7 Discussion Case 1: Volume 2, Case #16: The
woman who liked a late-night TV (Answered 2022)


NURS 6630 Week 7 Discussion

Case 1: Volume 2, Case #16: The woman who liked a late-night TV

The patient is a 70-year-old woman who exhibits symptoms of depression due to loneliness. Her

son and aide assist in her care. She is hard of hearing and has other cardiological problems. She

also has a family history of depression. Her ailment worsened because she was unable to sleep

and consequently has s restless leg syndrome.

The three questions I will ask the patient in my office are as follows;

1. Do you feel sleepy or do you have sleep attacks during the day and describe your usual night

sleep (Hours of sleep, quality of sleep, etc.)? Lack of sleep results in more health problems and

worsens depression.

2. Have any members in your family been depressed? Genetic loading in depression, anxiety or

schizophrenia. Get medication effectiveness of family similar to patient’s disorder.

3. Have you ever suffered from depression, anxiety or similar problems? Pt exhibited

symptoms of depression-crying, sadness etc. Patient’s mother has history of

depression.

Patient’s son and the home health aide are the persons assisting with his care. So, I will direct

my questions to his mother as well as her home health aide about depression history, sleeping

pattern, the activity of daily living and patient’s compliance with the medication regimen.

physical exams and diagnostic tests

Actigraphy is a device that measures and records movement. It is worn on the wrist and can be

used as a rough measure of the sleep-wake cycle. It is useful for assessing insomnia, circadian

rhythm disorders, movement disorders and an assortment of rare events (Sadock, 2015).

This study source was downloaded by 100000851646087 from CourseHero.com on 02-21-2023 22:57:29 GMT -06:00


https://www.coursehero.com/file/33466518/NURS-6630-Week-7-Discussiondocx/

, Polysomnography is the continuous attended, comprehensive recording of the biophysiological

changes that occur during sleep. It is recorded at night and lasts between 6 and 8 hours.

Brainwave activity, eye movements, submental electromyography activity, nasal-oral airway

flow, respiratory effort, oxyhemoglobin saturation, heart rhythm, and leg movement during sleep

are measured (Sadock, 2015).

Three differential diagnoses

1. Major Depressive Disorder (MDD)

A major depressive disorder is a depressed mood that persists for least two weeks duration or

longer. Signs and symptoms of major depression include poor appetite, insomnia or

hypersomnia, low energy or fatigue, low self-esteem, lack of concentration or difficulty making

decisions, and feelings of hopelessness, significant weight loss or weight gain and recurring

thought of death or suicide (Sadock, 2015). The predisposing factors to this illness include

responses to a significant loss such as grief, a financial ruin from natural disaster, or severe

medical illness or disability and other factors such as environmental (stressful life events),

genetic and physiological or other psychosocial factors. All currently available antidepressants

may take 3 to 4 weeks to exert significant therapeutic effects, although they may begin to show

their effects earlier. Examples of antidepressant medications include SSRIs, TCAs, and

MAOIs.

2. Insomnia

Sleep is regulated by basic mechanisms, and when these systems go awry, sleep disorders occur.

Sleep disorders are both dangerous and difficult to treat. Obstruction Sleep Apnea (OSA)

Insomnia is defined as difficulty initiating sleep. DSM-5 defines insomnia disorder as

dissatisfaction with sleep quantity or quality with one or more of the following symptoms:

difficulty in maintaining sleep with frequent awakenings and early morning inability to return to


This study source was downloaded by 100000851646087 from CourseHero.com on 02-21-2023 22:57:29 GMT -06:00


https://www.coursehero.com/file/33466518/NURS-6630-Week-7-Discussiondocx/

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller LectDan. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75632 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
  Add to cart