PLEASE FOLLOW THE INSTRUCTINS, NO PLAGIARISM, 2-3 REFERENCES, SEE RUBIC ATTACHED, PLEASE PUT TWO REFERENCES FOR EACH QUESTIONS

QUESTIONS.

  1. Mention any three risk factors for Depression?
  2. How do social factors affect Depression ?
  3. Mention 3 pharmacological treatments for Depression aside from treatment mentioned in case presentation

CC (chief complaint): Patient states “I am very depressed and very anxious”.

HPI; Patient k.k is a 17-year-old African American female who visited with her mother.  She is alert and oriented to time, place, person and situation. She reports she has been having feelings of depression for the past couple of months now as a result of gender identity issues and being gay. She reports symptoms like unprovoked crying spells, sadness, low self-esteem, feelings of hopelessness, worthlessness, lack of motivation and loss of interest, lack of concentration in school, decreased appetite, poor sleep, irritability, self-isolation. She reports she worries about everything from worrying how she would be accepted by her peers and extended family due to her gender identity issues. She also reports symptoms of anxiety such as restlessness,  sweating palms,  difficulty swallowing, racing thoughts and difficulty sleeping. She reports she sleeps for 3-4hours and her sleep is not restful and she has early morning awakening. She reports recently having impulsivity and poor judgement. She denies history of trauma, she denies thoughts of hurting self or others. Patient’s mother report her daughter is very sad and she tries to encourage her to feel better about herself.

Substance Current Use: No substance use by patient.

Medical History: Patient has no medical history.

 

· Current Medications: Zoloft 50mg 1 tab daily.

· Allergies: NKDA

· Reproductive Hx: Patient has no children at this time.

 

ROS:

· GENERAL; Patient is alert, oriented to time, place, situation and person. Well groomed and appropriately dressed. No weight loss, fever, chills or weakness noted.

· HEENT: Patient report no fall or head trauma, no headache. Denies eye pain, no blurry vision, no drainage from eyes. No ear pain, no loss of hearing and no drainage from ears. Neck supple. no throat pain and no problem swallowing.

· SKIN: skin intact, warm and dry to touch. No rash to skin and no itching noted.

· CARDIOVASCULAR: Patient denies heart palpitation or irregular heart beat.  No report of chest pain.

· RESPIRATORY: Patient repiration even and unlabored,  no cough, wheezing or congestion. Denies dyspnea on exersion.

· GASTROINTESTINAL: Patient denies abdominal pain. No nausea, vomiting, constipation. Patient report regular bowel pattern.

· GENITOURINARY: Patient has no abdominal pain, denies burning on urination, urgency or hematauria.

· NEUROLOGICAL: Patient denies hx of syncope, dizziness, ataxia or paralysis. No problem with balance and coordination.

· MUSCULOSKELETAL: Patient denies muscle, joint or back pain. Gait and ambulation normal. No joint stiffness or limitation in motion.

· HEMATOLOGIC: Patient denies hx of anemia. No report of  bleeding or bruising.

Rubric Detail

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Content

Name: PRAC_6675_Week7_Discussion_Presenter_Rubric

  Excellent Good Fair Poor
Photo ID Display and Professional Attire

Points:

Points Range:
5 (5%) – 5 (5%)

Photo ID is displayed. The student is dressed professionally with a lab coat.

Feedback:

Points:

Points Range:
0 (0%) – 0 (0%)

Feedback:

Points:

Points Range:
0 (0%) – 0 (0%)

Feedback:

Points:

Points Range:
0 (0%) – 0 (0%)

Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally with a lab coat.

Feedback:

Time

Points:

Points Range:
5 (5%) – 5 (5%)

The video does not exceed the 8-minute time limit.

Feedback:

Points:

Points Range:
0 (0%) – 0 (0%)

Feedback:

Points:

Points Range:
0 (0%) – 0 (0%)

Feedback:

Points:

Points Range:
0 (0%) – 0 (0%)

The video exceeds the 8-minute time limit. (Note: Information presented after the 8 minutes will not be evaluated for grade inclusion.)

Feedback:

Objectives for the Presentation

Points:

Points Range:
5 (5%) – 5 (5%)

3–4 objectives provided and written in terms of what the audience will know or be able to do after viewing. Appropriate Bloom’s verbs are used. Objectives are targeted an