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    22 views14 pages

    Case Study MH

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    api-663499263

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    © All Rights Reserved
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    Major Depressive Disorder Aaron Williams (Centofanti School of Nursing, Youngstown State University Dr. Teresa Peck March 26, 2023 Case Study Abstract This case study will go over the mental health disorder Major Depressive Disorder. This mental health disorder is one of the most common mental health disorders in the United States of America. The purpose of this case study is to give an overview of a patient suffering from Major Depressive Disorder. The patient that will be reviewed in the case study is K.P., a 64 year old Caucasian woman who suffers from Major Depressive Disorder, Cluster B, and Suicidal Ideation. In this case study you will find history about the patient, stressors both past and present, evaluation of the patient, treatment used, and nursing research journals used to help better understand the diagnosis of Major Depressive disorder, Cluster B, and Suicidal Ideation. The main focus of this case study is to inform the reader of Major Depressive Disorder and how life experiences can further expose the patient to additional diagnoses. Case Study Major Depressive Disorde Case Study Objective Data Patient Identifier: KP Age: 64 Sex: Female Date of Admission: March 11", 2023 Psychiatrie Diagnosi Major Depressive Disorder Other Diagnosis: Cluster B, Suicidal Ideation Behaviors on admission: KP was admitted to the Emergency Department for an attempted suicide with use of the medication Baclofen. Suicide attempt was due to fight with husband and “wanted attention”. The husband stuck his fingers down KP’s throat in attempt to initiate regurgitation of the baclofen. KP was taken to the hospital in time to receive medication to reverse the effects of baclofen overdose. Behaviors on day of care: KP was very talkative and had an upbeat mood. KP was very open about her current mindset and past situations that led her to admission. KP mentioned her busband, daughter, and granddaughter multiple times throughout the interview. KP also mentioned her frustrations with the hospital staff on the floor. She stated, “I’m starting a movement”, stating she was starting a movement due to lack of patient education and patient care on the floor. Case Study Laboratory Results Potassi 6 Sodium: 137 BUNICr: 31/0.99 RBC: 4.87 Heb/Het: 15.2/45.3 WBC: 20.3 TSH/T4: 3.15/1.17 Toxicology: Positive for Cannabis (medical card) QTC: 460 Psychiatrie Medications: Citalopram/Celexa, SSRI, 10mg Daily, Depression Divalproex/Depakote, Antiseizure, 250mg BID, Mood Stabilizer Haloperidol/Haldol, Antipsychotic, 2mg Q6H, Agitation, Levetiracetam/Keppra, Antipsychotic, 750mg QI2H, Seizures Summary of Psychiatric Diagnoses: Major depressive disorder is a commonly diagnosed disorder in the United States. “Epidemiological studies have shown that depression affects a significant portion of the population (Andrade, Walters, Gentil, & Laurenti, [3]; Kessler, Chiu, Demler, Merikangas, & Walters, [25]). Depressive disorders correlate negatively with quality of life, functioning and use of public health resources (Fleck et al., [15]). Therefore, depression is a problem in public healthcare”. It is diagnosed to an individual with consistent depressed mood, decreased interest in activities, feeling down about themselves, lack of sleep, lack of concentration, lack of appetite, and sometimes even suicidal thoughts. To be diagnosed with Major depressive disorder an individual must have five of the above mentioned symptoms. Major Depressive Disorder can be Case Study caused by multitude of factors including biological, genetic, and psychosocial factors. Just like any other diagnosis itis important to rule out any other problems within the patient that may be causing high levels of depression before making the diagnosis of Major Depressive Disorder. ‘These problems can be indicated with the use of lab levels, CT scans, MRIs, or El G's. Cluster B is a type of personality disorder. A person with Cluster characterized of having overly dramatic and unpredictable thoughts and behavior. These unpredictable thoughts or behavior can be due to a greater degree of psychosocial distress compared to the rest of the Population. This type of distress can be precipitated by past traumatic experiences or life- threatening events that most of the population will never have to endure in their lifetime. It is not ‘uneommon to see Cluster B diagnosed patients also be diagnosed with major depressive disorder. There are four diagnosis that make up Cluster B. “Cluster B or dramatic cluster consists of 4 subtypes, which are antisocial, borderline, histrionic, and narcissistic PD [[ 1}. They are excessively demanding, manipulative, emotionally unstable, interpersonally inappropriate, and ‘may attempt to create relationships that cross professional boundaries that place physicians in

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