health management,health management,health management

 

1-      What do you know about marijuana and patient with dementia?

2-      Share your thought about that fact “the rise in the number of patients is due to the second wave of infection after all the states started to open up.”

 

1. Gary is a 23-year-old male who was initiated on olanzapine 10mg daily about six months ago to treat symptoms of schizophrenia.  He returns to you today for follow-up.  He has gained about 30 lbs in the past six months. He is otherwise doing well and denies hallucinations and does not exhibit any delusional thinking.  He is concerned about his weight gain.  What would you do next and why?

 

1. Carrie is a 30-year-old female who presents with a two year history of major depressive disorder, moderate, recurrent (MDD).  She endorses depressed mood, anhedonia, low self-esteem, difficulty falling asleep, low energy, and overeating with weight gain of 10 lbs in 1 month.  She is not currently pregnant but is actively trying to conceive and this is very important to her.  You think she could really benefit from a trial of Zoloft (sertraline) for her depression.  How would you approach this conversation using a Shared Decision Making framework?  Give some examples of what you would say.

 

1. Stephen is a 15-year-old male who presents for treatment of generalized anxiety disorder (GAD) and obsessive-compulsive disorder (OCD).  He has been in therapy for several years with some benefit, but lately his symptoms have been interfering with his schoolwork, school attendance, and social relationships.  He is not presently taking any medication.  What would you recommend and why?

 

 

1. Midge is an 85-year-old female with major neurocognitive disorder, probable Alzheimer’s.  She presents with her two daughters who are her legal guardians and primary caregivers.  They want to keep Midge at home with them as long as possible, but lately Midge has become more paranoid, aggressive, and has been acting out at night.  They give examples of Midge barricading herself in her bedroom with the furniture and on another night she hit her daughter with her cane so hard that her daughter nearly fell down the stairs.  The behavior only seems to occur at night and she does not sleep well.  Her PCP has medically cleared her and ruled out any medical causes.  What would you recommend and why?  How would you have this discussion using a Shared Decision Making framework?  Give examples of what you would say.

 

Explain why you chose your topic and describe the expected impact on population health within the next five years

Barton, M. (2013, November 26).  Health Catalyst. Retrieved from https://www.healthcatalyst.com/managing-diabetes-population-health-management