Write Follow Psych Explained for Students (Easy Guide)

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Original Question

Write an follow up PSYCH VISIT, chief complaint, , Psychiatric visit HPI, current Psych meds, exam, diagnosis and recommended Plan and rationale for med changes for an years 86years old male who resides at a skilled facility currently seen today for a follow up visit today and referred to be seen because daughter called and requested follow up on dose of Donepezil. She has hx of ALZHEIMER’S DISEASE WITH LATE ONSET, and DEMENTIA IN OTHER DISEASES CLASSIFIED ELSEWHERE, UNSPECIFIED SEVERITY, WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE, AND ANXIETY, MDD The patient was started on Donepezil 5mg in March 2025 and the plan was to increase the dose to 10mg at the follow up appointment in June. The daughter send send over neurosurgeon notes and these were reviewed. Orders given to increase Donepezil to 10mg daily. The patient is now working with Occupational therapy daily and they help her move for 1hour daily. She however continue to compliane of frequent pieing like every two hours and this is getting her owwried. She has diagnosis of overeactive bladder.

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