nr601 week3 part2.docx - Dr Schroetter I have chosen...

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Dr. Schroetter, I have chosen patient health questionnaire-9 (PHQ-9) for depression screening and generalized anxiety disorder 7-item (GAD-7) scale for anxiety screening and feel they are both appropriate for KB. I chose the PHQ-9 for KB because it is an easy to use tool for making diagnoses of depression encountered in primary care. The PHQ-9 has 9 questions that the patient answers themselves. With only 9 questions, the PHQ-9 is half the length of many other depression screening tools and easy to complete during a clinic visit. The PHQ-9 is a dual-purpose screening tool that, with the same 9 questions, can establish both depressive disorder diagnoses as well as grade depressive symptom severity (USPSTF, 2016) The 7 out of the 9 questions that could be scored are as follows: Over the past 2 weeks how often have you experienced: 1. Little interest or pleasure in doing things? 3 2. Feeling down, depressed or hopeless? 3 3. Trouble falling or staying asleep, or sleeping too much? 1 4. Feeling tired or having little energy? 3 5. Poor appetite or overeating? 3 6. Feeling bad about yourself-or that you are a failure or have let yourself or your family down? 1 7. Trouble concentrating on things, such as reading the newspaper or watching TV? 3 The scoring is based on the answers of how often. Not at all is 0, Several days 1, More than half the days 2, Nearly every day 3. KB’s total score is 13. Based on the score interpretation, KB has moderate severity of major depressive disorder. The recommended treatment plan is to consider counseling and pharmacotherapy (USPSTF, 2016) The next step is to make sure that KB has no thoughts of self-harm or suicide. If there is no reason to believe that there is suicidal ideation the next step is to discuss treatment with medication and provide KB with a referral to counseling. I would start KB on Prozac. Before
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  • Fall '15
  • Selective serotonin reuptake inhibitor, Major depressive disorder

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