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Original Question

She is currently on 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 69 years old male referred to be seen for initial psychiatric visit. She is currently residing at a skilled nursing facility. She is here post hospitalization of Disloaction of Internal left hip. She has Psych history of Parkisson’s disease and severe protein malnutrition. She is currently on Mirtazapine 15mg at HS for MDD. Milnacipran 100mg at HS for Fibromyagia (An antidepressant used in the treatment of Fibromyagia). She said she has always been on Mirtapzipine and that is what works for her. She said she her mood is up and down but she is slowly adjusting. She said she had stayed in the facility before and enjoyed the care so she knew what she was getting into. She said she moved to centralia to be closer to her son. She lives alone, has a caregiver who comes daily from 8am to 1pm and then from 5 to 7pm. She said she had a stroke 10years ago and it affected her right hand which later resulted to parkissons, she said her right hand keeps falling.

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