Discontinuing Antidepressant due to Side Effects in 59-Year-Old
The Issue: Managing side effects so a patient with good response will remain adherent to the treatment plan.
Patient History
The patient is a 49-year-old married woman with three grown children.
She is moderately overweight (BMI 31) and was diagnosed with non-insulin-dependent diabetes 10 years ago; she is fairly well managed on an oral hypoglycemic medication (glipizide 10 mg twice per day). Three years ago, the patient experienced two tremendous stressors: her oldest child developed cancer (now in remission), and her mother passed away. She suffered a significant major depressive episode that went untreated until recently.
This was her sixth episode of depression; she experienced two major depressive episodes as a teenager, and she developed postpartum depression and anxiety following the births of each of her three children. Five months ago, after she was too fatigued to get out of bed, she sought treatment for the first time in her life.
After receiving education and support from her provider, she reluctantly agreed to take Paxil 30 mg/day.
The patient has experienced a near complete resolution of her symptoms in the last 7 months; however, she has developed unwanted side effects and wants to discontinue the medication. Specifically, she has increased appetite and has correspondingly gained 9 pounds in the last 5 months, with an increase in HgA1c of 1 full percentage point. She also reports excess daytime sedation and anorgasmia (very unusual for her).
- 1. What options can you offer to manage these side effects? Be specific!!
- 2.What education should you give patients about stopping this medication abruptly?
- 3.What is your treatment plan moving forward?
Complete a full intake on this patient and then develop a treatment plan using the SOAP note format.
For this case study, you must detail the types of medication. This includes the name of the medication, the dosage, the route, the frequency. You must provide factual reasoning for your choice of medication(s). Provide the classification of Provide the classification of all drugs mentioned in your SOAP note.
Proper English, grammar, and spelling are required for this assignment. All references must be less than five years old. All references must be scholarly. All references must include DOI numbers. APA seventh edition formatting is required.
Your soap note must be highly detailed and patient centered.
You must be very specific in your treatment plan as to the treatment provided for this case study.
What Students Are Saying About Us
.......... Customer ID: 12*** | Rating: ⭐⭐⭐⭐⭐"Honestly, I was afraid to send my paper to you, but you proved you are a trustworthy service. My essay was done in less than a day, and I received a brilliant piece. I didn’t even believe it was my essay at first 🙂 Great job, thank you!"
.......... Customer ID: 11***| Rating: ⭐⭐⭐⭐⭐
"This company is the best there is. They saved me so many times, I cannot even keep count. Now I recommend it to all my friends, and none of them have complained about it. The writers here are excellent."
"Order a custom Paper on Similar Assignment at essayfount.com! No Plagiarism! Enjoy 20% Discount!"
