MASTERS LEVEL ONLY
APA 7
3 or more citations/references needed from American scholarly journal of medicine, no cover page needed
You are working as a psychiatric nurse practitioner in an outpatient setting. A 72-year-old Asian female is scheduled today for an initial intake. She broke her hip and was in rehab for six weeks. While she was living at the nursing home, she had restraints applied due to her attempts to remove the dressing on her hip. Her son is with her during the intake because, at times, she presents as disoriented. The chief complaint follows: “It has been difficult to come to see you in the office. My spiritual beliefs will not allow me to take medication every day.”
What are the therapeutic concerns regarding the need to establish a relationship with this elder?
What factors will you consider regarding the plan of care? Be sure to address the potential for the patient to become uncooperative (i.e., needing restraints)
What are the cultural, ethical, and spiritual concerns you need to keep in mind?
How would you arrive at a diagnosis (including a differential diagnosis) and the possible need for medication genetic testing (include specific medication options)?
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