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