Client of korean descent/ancestry | Nursing homework help


BACKGROUND INFORMATION

The client is a 26-year-old dame of Korean descent who presents to her original enactment aftercited a 21-day hospitalization for onslaught of clever aberration. She was diagnosed after a while bipolar I guess-work. 

Upon presumption in your employment, she is altogether “busy,” untrammelled after a while things on your desk and mutability from aspect to aspect in her chair. She informs you that “they said I was bipolar, I don’t respect that, do you? I equitable affect to colloquy, and wanton, and rejoice. Did I ascertain you that I affectd to cook?”

She weights 110 lbs. and is 5’ 5” 

SUBJECTIVE

Patient reports “fantastic” disposition. Reports that she snoozes encircling 5 hours/night to which she adds “I loathe snooze, it’s no fun.” 

You reviewed her hospital memorials and perceive that she has been medically exertioned up by a physician who reported her to be in overall cheerful soundness. Lab studies were all after a whilein regular limits. You perceive that the resigned had genetic testing in the hospital (specifically GeneSight testing) as none of the medications that they were treating her after a while seemed to exertion. 

Genetic testing reveals that she is unequivocal for CYP2D6*10 allele. 

Patient confesses that she bungped portico her lithium (which was recommendd in the hospital) past she was discharged two weeks ago. 

MENTAL STATUS EXAM

The resigned is vigilant, oriented to idiosyncratic, assign, occasion, and circumstance. She is familiar altogether oddly- wearing what appears to be an late gown to her enactment. Speech is accelerated, pressured, tangential. Self-reported disposition is euthymic. Affect ample. Resigned denies visual or auditory hallucinations, no public delusional or paranoid idea processes early unmistakable. Judgment is grossly uncorrupted, but apprehension is clearly 

impaired. She is currently disclaiming suicidal or homicidal ideation.

The Young Aberration Rating Scale (YMRS) beak is 22

The Assignment

Examine Case Study: An Asian American Dame After a while Bipolar Disorder. You succeed be asked to produce three sentences relative-to the medication to recommend to this client. Be permanent to attend factors that force contact the client’s pharmacokinetic and pharmacodynamic processes.

At each sentence summit bung to entire the aftercited:

  • Decision #1
    • Which sentence did you fine?
    • Why did you fine this sentence? Support your vindication after a while deposition and references to the Learning Resources.
    • What were you hoping to terminate by making this sentence? Support your vindication after a while deposition and references to the Learning Resources.
    • Explain any disagreement betwixt what you expected to terminate after a while Sentence #1 and the results of the sentence. Why were they incongruous?
  • Decision #2
    • Why did you fine this sentence? Support your vindication after a while deposition and references to the Learning Resources.
    • What were you hoping to terminate by making this sentence? Support your vindication after a while deposition and references to the Learning Resources.
    • Explain any disagreement betwixt what you expected to terminate after a while Sentence #2 and the results of the sentence. Why were they incongruous?
  • Decision #3
    • Why did you fine this sentence? Support your vindication after a while deposition and references to the Learning Resources.
    • What were you hoping to terminate by making this sentence? Support your vindication after a while deposition and references to the Learning Resources.
    • Explain any disagreement betwixt what you expected to terminate after a while Sentence #3 and the results of the sentence. Why were they incongruous?

Also conceive how ghostly attendations force contact your texture contrivance and despatch after a while clients.