NR601 Week 3 Discussion 1 & 2.docx

The phq 9 assesses symptoms of depression over the

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the form nor does it inform the patient that it is a depression screening tool. The PHQ-9 assesses symptoms of depression over the preceding 2 weeks and is used for screening, diagnosing, and monitoring depression (Torous et al., 2015). A. Screening tool for anxiety- The Generalized Anxiety Disorder- 7 (GAD-7) is a self-rated scale utilized as a screening tool and severity guide for GAD (Rutter & Brown, 2017). B. Why was the PHQ-9 chosen for KB- The student chose the PHQ-9 as it is a validated depression screening that is frequently used in primary care. An article by Torous et al. (2015) states that numerous studies have used the PHQ- 9 to influence clinical decision making as it has good diagnostic properties in comparison to longer screening tools. It is easy for the patient to comprehend and answer. KB has no history of diagnosed depression but has been affected by situational circumstances in which may cause depression. She moved away from an abusive relationship in France only to leave her son behind with her ex husband and she has lost her husband due to a motor vehicle accident in which she was the driver. The screening tool is a helpful tool to get a better understanding of what KB has been feeling recently, especially in the preceding 2 weeks. B. Why was the GAD-7 chosen for KB-
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The GAD- 7 is quickly completed by the patient and quickly scored. The screening was initially created to be used in the primary care setting to increase recognition of GAD. The screening tool has a good reliability and validity (Rutter & Brown, 2017). C. PHQ-9- Questions that could’ve been scored- It is difficult to accurately answer these questions as the PHQ-9 is solely based upon the patient’s retrospective recall (Torous et al., 2015). The PHQ-9 is comprised of only 9 questions, but the student was only capable of answering based off of the case study. 1. Little interest or pleasure in doing things 0 1 2 3 2. Feeling down, depressed, or hopeless 0 1 2 3 3. Trouble falling or staying asleep, or sleeping too much 0 1 2 3 4. Feeling tired or having little energy 0 1 2 3 5. Poor appetite or overeating 0 1 2 3 6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down 0 1 2 3 7. Trouble concentrating on things, such as reading the newspaper or watching television 0 1 2 3 8. Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual 0 1 2 3
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9. Thoughts that you would be better off dead or of hurting yourself in some way Out of the 9 questions there were 6 answered and a score of 11 was submitted. A score of 10 or greater signifies major depressive disorder (Torous et al., 2015). C.GAD-7 questions that could’ve been scored- The writer doesn’t feel as if anxiety was addressed in the case study nor did the patient speak of anything that seems correlated to the questions on the GAD-7.
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  • Spring '15
  • Selective serotonin reuptake inhibitor, Major depressive disorder

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