E.J. is a 62-year-old Caucasian
male who initially presented with new-onset symptoms of psychosis and
mood liability thought to be connected with high-dose Prednisone
treatment for poison ivy exposure. He was brought to an emergency room
by his grandson approximately 11 months ago with extreme agitation.
Evaluation of E.J. at that time revealed auditory hallucinations. E.J.
noted that the whispering voices had a persecutory tone. He also
expressed feelings of paranoia, saying that the voices were plotting
against him and that he would not let them win. The patient is currently
residing in the secure wing of an assisted living facility.
History
E.J.
has a past medical history that includes hypertension, hyperlipidemia,
coronary artery disease, chronic obstructive pulmonary disease, peptic
ulcer disease, and peripheral artery disease (with stents), but no prior
psychiatric history. His mother was diagnosed with schizophrenia.
Assignment Instructions
For
your assignment, complete the following information based on the
patient information you have been given. Include at least one Internet
source and two evidence-based articles in addition to the assigned texts
to support your recommendation(s).
- Diagnoses, Differentials, and ICD Code(s):
Provide your recommendations for each. - Medications:
Provide
your recommended drug therapy, including common side effects and
potential or actual adverse drug responses (ADR), common drug and/or
food interactions, and key monitoring points. - Psychosocial Issues:
Discuss the psychosocial issues and circumstance(s) surrounding this case. - Variables Related to Aging and Mental Health:
Describe unique patient variables that are involved in the patient’s response to aging and mental health. - Recommendations:
Include non-pharmacological interventions. List any changes in care approaches you would suggest.
At
least four pages, citations, double spaced, DSM-5 is a reference book
for the assignment and you can find things online as long as they are
cited. I need at least 5 references.


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