Write Initial Psych Question & Answer Guide (With Explanation)

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Original Question

Write an Initial PSYCH VISIT, Psychiatric Evaluation/ diagnosis, Psychiatric visit HPI, social, screening tools, MSE, diagnosis and recommended Plan for a 75years old female who resides at Sharon Care facility. Skilled facility. She is Alert and oriented but anxious. She has Physical diagnosis of acute respiratory failure with hypoxia and uses supplmental oxygen for breathing continuously. She said her appetite was improving and she is trying to drink her ensure (nutritional shakes). However she has lost weight as from 12/29/2024 her weight was 97, but its currently 87lbs as of 2/27/2025. Provider educated about the use of Mirtazapine that could also help to elevate mood and increase appetite but she refused to try any new medication. She said her mood is still down. She said she gets anxious and goes into a panic attack when her oxygen level drops. Sleep in increments but not able to sleep when she gets SOB. Still anxious during assessment but was cooperative. Current Meds: Venalafaxine HCL 37.5mg Amitritypline HCL 10mg for depression Hydroxizine HCL 25mg, 1 tab PRN every 8hours for anxiety Magnesium oxide 400mg daily for supplements.

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