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How to Answer Laurie Year Female Questions (Complete Guide)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to laurie year female and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves laurie year female. A strong answer should include explanation, application, and examples.

Original Question

Laurie is a 28-year-old female who presents for a chief complaint of “feeling down for the past two months.” Laurie sits down, then says “I haven’t been myself lately, but it’s hard to tell how ‘good’ I am supposed to feel anyway”. She describes symptoms including feeling sad and decreased libido. She has also been overeatinglately and has gained about 10 lbs in the past two months. She feels tired all the time and has had difficulty falling asleep. She shares that she usually gets in bed around 7 or 8pm ‘because I just want the day to end’, but will toss and turn for hours, usually falling asleep around 10 or 11pm. Then, she wakes up around 3am and cannot get back to sleep. “It’s weird, it’s like there is an internal clock or something and I just wake up at the same time, 3AM, every day – but then I’m exhausted again by 10am!”. Laurie works as a 3rd grade teacher in a local Catholic school. She has been married x two years and recently returned to school to obtain her graduate degree in education. “It’s been stressful since I returned to school, my husband says he just wants his wife back.” She is the 2nd of 5 children from an intact family and describes her familyas “loving, but Irish American, so we were not exactly encouraged to talk about our troubles. We were told to ‘offer it up!’ and to work hard”. She says that she thinks her mother may have had periods of depression, but she’s not sure. One of her sisters has depression and is in therapy. Current Medications: Womens one a day MVI, Vitamin D3 1000IU once a day Questions: What other subjective assessment data would you gather to ensure you have a complete evaluation for Laurie? What objective assessment data would you need for this patient? List 3 differential diagnoses with brief rationales, identify your most likely diagnoses of the three you listed. Describe 2 evidence-based screening tools that you could use in your assessment What is your initial treatment plan? Include pharmacological and non-pharmacologic interventions. Be specific in terms of each intervention, including for medications: Which medication or medications would you select? How and when would you start each one and at what dose and how/when would you titrate (if you planto)? Cite the evidence and references you used to develop this plan. For any non-pharmacologic interventions: List which treatments you would recommend and who would provide these treatments Cite the evidence and references to support your noon-pharm plan Which medication or medications would you select? How and when would you start each one and at what dose and how/when would you titrate (if you planto)? Cite the evidence and references you used to develop this plan. Laurie calls your office 3 months later and demands to immediately speak with you. She reports that she has missed a period and took a home pregnancy test and it showed that she was pregnant. Her LMP was 6 weeks ago and while she was not trying to get pregnant she is excited but worried now about her medications that she is taking and if they could be harmful to her baby. Look at the medication(s) you have prescribed for her in the previous questions and answer the following: Are the medications safe in pregnancy? If they are not safe in pregnancy, what is your plan?

 
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