dq 1 Week 3: Geriatric Assessment Tools 1313 unread replies2929 replies Students will not receive cr

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dq 1

Week 3: Geriatric Assessment Tools

1313 unread replies2929 replies

Students will not receive credit for any discussions posted after Sunday 11:59pm MT

Review the course library page list of available screening tools Link to Library (Links to an external site)Links to an external site

Scroll down and look on the left hand side of the screen: Geriatric Assessment tools

Choose two assessment tools that are appropriate for primary care (excluding depression, anxiety and pain screening tools) and discuss the following:

  • explain the purpose of the tool
  • scoring guidelines
  • how you apply the assessment in practice

dq 2 Week 3: Psychiatric Disorders and Screening

1111 unread replies3434 repliesStudents will not receive credit for any discussions posted after Sunday 11:59pm MT

Anxiety and depression are the most common psychiatric problems you will encounter in your primary care practice

Review this case study

HPI: KB, 55 year old Caucasian female who presents to office with complaints of fatigue The fatigue has been present for 6 months and seems worse in the morning, improving slightly through the day KB reports a lack of energy and “loss of joy” States” I really don’t feel like going anywhere or doing anything” Reports she often has difficulty staying on task and completing projects for work She reports not feeling hungry and does not feel rested when she wakes up in the morning KB is a widow for 2 years, social events that are couples only can make her symptoms worse She tries to do at least one social activity a week but it can be really exhausting Her husband died in their car while she was driving him to the hospital and sometimes driving in that car makes all the memories come back She recently got a puppy, which she thought would help with the loneliness but the care of the puppy seems overwhelming at times Rest and exercise, specifically yoga and meditation seem to make her feel better At this time she does not want to do either She has not tried any medications, prescribed or otherwise She reports drinking a lot of coffee, but that does not seem to help

Current medications: Excedrin PM about once a week when she can’t sleep, seems to help a bit NKDA

PMH: no major illnesses Immunizations up to date

SH: widowed, employed full time as a manager Drinks wine, 1 glass every night No tobacco, no illicit drugs Previously married while living in France, reports an abusive relationship The French government gave custody of her son to the ex-husband She returned to US without her son 10 years ago She sees her son two times a year, they skype and text “all the time” but she misses him

FH: Parents are alive and well Has one son, age 21, he is healthy but lives in France with his father

ROS

CONSTITUTIONAL: reports weight loss of 2-3 pounds, no fever, chills, or weakness reported

HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclera Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat

CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort No palpitations or edema

RESPIRATORY: No shortness of breath, cough or sputum

GASTROINTESTINAL: Reports decreased appetite for about 3 months No nausea, vomiting or diarrhea No abdominal pain or blood

NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities No change in bowel or bladder control

GENITOURINARY: no burning on urination Last menstrual period 4 years ago

PSYCHIATRIC: No history of diagnosed depression or anxiety Reports great anxiety due to verbal and concern for physical abuse, reports feeling very sad and anxious when divorcing and leaving her son in France Did not seek treatment She started to feel better after about 4 months

ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance No polyuria or polydipsia

ALLERGIES: No history of asthma, hives, eczema or rhinitis

Discussion Questions:

1 Research screening tools for depression and anxiety

Choose one screening tool for depression and one screening tool for anxiety that you feel are appropriate to screen KB

Explain why you chose that particular tool for KB If you can, attempt to score KB based on the information provided (not all data may be provided) Include what questions could be scored, and your chosen sore

2 Identify your next step for evaluation and treatment for KB

What medication, if any, would you recommend for treatment? Provide the rationale This should include the medication class, mechanism of action of the medication and why this medication is appropriate for KB Include initial prescribing information

If the medication works as expected, when should KB expect to start feeling better?

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