NRNP 6675 Week 9 Assignment; Grand Rounds Discussion-Older Adult
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Introduction
This is a case presentation of a 65-year-old Philipino male who presented to the clinic for medication management after exacerbation of psychotic symptoms after being discharged from acute inpatient care after a 3-week hospitalization and did not keep taking his medication
Objectives:
- Colleagues will be able to identify different scales used to access anxiety, depression, and schizophrenia and use the information to help formulate a treatment plan based on the patient’s symptoms.
- Colleagues will be able to identify the DSM-5 criteria for Schizophrenia, bipolar with psychosis, and brief psychotic disorder
- Colleagues will be able to discuss options for treating patients experiencing psychosis at home who refuse hospitalization and do not meet the criteria for inpatient hospitalization as they do not present as a danger to themselves or others.
Subjective:
CC (chief complaint): “My husband hasn’t been taking his medications for 18 days”.
HPI: The patient is a 65-year-old male presenting for medication
management for increased hallucinations and delusions following his
release from inpatient care 18 days ago. His wife is at his side. She
reports he was released 18 days ago following an inpatient
hospitalization after becoming aggressive, ringing the neighbor’s
doorbell, and then assaulting them, and having to be subdued by the
police and taken to the emergency room. At that time, he was yelling,
appeared agitated, and delusional about the risk to himself and his wife
from the neighbors.......... Continue
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