PRAC 7

CASEPRESENTATION7.docx

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

CASE PRESENTATION

M.K. 64 YEAR OLD FEMALE INDIAN MUSLIM WITH PSYCHOSIS AND SLEEP PROBLEM. PT COMPLAIN OF HEARING VOICE TELLING HER TO HURT HERSELF. PT WAS MARRIED WITH ONE SON AND ONE DAUGHTER. HUSBAND WAS ON HOSPICE FOR A WHILE DUE TO PROSTRATE CANCER. PASSED AWAY LAST YEAR.

PT ENDORSED GOOD SLEEP WITH THE AID OF MEDICATION AND GOOD APPERTITE. PT TAKES HER MEDICATION AT NIGHT TIME. GOOD STRENGTH. FAIR AFFECT AND MOOD. PT LIKE CHICKEN FOR DINNER. PT MOVED TO NEW HOUSE DUE REMODELING OF THE OLD HOUSE.

MEDICATION

SEROQUEL 200MG PO QHS

RISPERDAL 2MG PO BID

MOTRIN 600MG PO Q6HOURS PRN FOR BACK PAIN

T98.8 P86 RR18 B/P 120/78 SPO2 98% HT5’6 WT 186 LBS