Write Initial Psych Explained for Students (Easy Guide)

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Original Question

Write an Initial PSYCH VISIT, chief complaint, , Psychiatric visit HPI, current Psych meds, exam, social history,, screening tools and results MSE, diagnosis and recommended Plan (medication and dosages), rationale for using the medications for an 86years old male referred to be seen by psych for evaluation and treatment as related to AMS, alcohol use, dementia without behavioral or psychotic disturbance and Alzheimer’s disease. He is here post hospitalization of metabolic encephalopathy, altered mental status, hemiplegia unspecified affecting dominant side. He said nothing is working for him here. He said he wanted to to poop but now he cannot, he just feels constipated. He said his mood is good but his sleep is very poor. He said he has difficulties falling asleep. He said so many things he could be doing but he is not able to. He said he came from Idaoh to visit his son and grandchildren but he ended up in the hospitalized. He said his wife of 60years died 6weeks ago and her funeral was 6weeks ago so this is really affecting him. He has 2boys and one girl but he has not seen the girl since he was sick. He was a good story teller during the assessment but some confusion was however noted.

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