What is the best therapeutic approach to the treatment of EMs condition?

ASSIGNMENT 1

Patient With Fatigue

EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.

Past Medical History

  • RA for 35 years, affecting hands, feet, knees, hips, and cervical spine
  • Systolic hypertension
  • Presbycusis

Medications

  • Ibuprofen, 600 mg three to four times per day as needed
  • Methotrexate, 7.5 mg weekly
  • Atenolol, 25 mg daily
  • Hydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for pain

Physical Examination

  • Height: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 F
  • Well-developed, well-nourished elderly male in no distress; pale
  • Lungs: bibasilar rales
  • Heart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the left
  • Abdomen: no masses, nontender
  • Rectal: prostate 3+ enlarged, hemoccult negative brown stool
  • Extremities: marked ulnar deviation of MCP and IP joints in both hands

Labs and Imaging

  • Hemoglobin: 8.9 g/dL
  • Mean corpuscular volume (MCV): 80 fL
  • White blood cell count: 10.7 10/L
  • Platelets: 250,000/L
  • Reticulocyte count: 0.8%
  • Ferritin: 415 mcg/L
  • Electrocardiogram: no acute findings; some evidence of left ventricular hypertrophy

Discussion Questions

1.What is EMs diagnosis?

2.What is the underlying pathophysiology of EMs condition?

3.What is the best therapeutic approach to the treatment of EMs condition?

 

1 PAGE TO ANSWE THE 3 QUESTIONS ABOVE ACCORDING TO THE CASE ABOVE.

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DUE DATE FEBRUARY 8 , 2023

What is the best therapeutic approach to the treatment of EMs condition?

Introduction

The best therapeutic approach to the treatment of  EMs condition is to combine psychotherapy and medication. Psychotherapy is a group of talking therapies that helps people deal with their experiences, thoughts and feelings. It also helps them think about the future, including how to manage challenging situations. Medication can be used in conjunction with psychotherapy. It is generally recommended for people who have trouble quitting smoking, or for those who suffer from severe depression

The best therapeutic approach to the treatment of EMs condition is to combine psychotherapy and medication.

Psychotherapy is a group of talking therapies that helps people deal with their experiences, thoughts and feelings. Psychotherapy can help you work through upsetting events that occurred in your life and make sense of them.

Psychotherapists use many different methods to help clients understand their emotions, thoughts and behaviors. They also help clients find ways to cope with problems they’re having such as anxiety or depression.

These professionals may use cognitive behavioral therapy (CBT) or psychodynamic theory depending on what type of patient they are treating

Psychotherapy is a group of talking therapies that helps people deal with their experiences, thoughts and feelings.

Psychotherapy is a group of talking therapies that helps people deal with their experiences, thoughts and feelings. It can be used to treat many conditions, including depression, anxiety and post-traumatic stress disorder (PTSD). Psychotherapy is a safe, effective and affordable treatment option for adults suffering from EMs condition.

Psychotherapy can help you manage your symptoms by explaining what they feel like in words so you know how to avoid them in future situations. It helps you accept that there is no right or wrong way to react when something happens – it might make you feel better but it doesn’t necessarily mean that your actions were bad!

Psychotherapy can help people work through upsetting events that occurred in their lives. It also helps them think about the future, including how to manage challenging situations.

Psychotherapy can help people work through upsetting events that occurred in their lives. It also helps them think about the future, including how to manage challenging situations.

Psychotherapy is a group of talking therapies that aim to help you understand yourself and your problems better by being open with others. In psychotherapy sessions, you may talk with a therapist about things that make you upset or anxious, such as family problems or bullying at school. Psychologists who are trained in this area will listen carefully while they ask questions to help you explore these feelings more deeply. The goal of therapy isn’t just getting over an issue; it’s learning new ways to think about things so they won’t cause stress anymore!

Medication can be used in conjunction with psychotherapy. It is generally recommended for people who have trouble quitting smoking, or for those who suffer from severe depression.

Medication can be used in conjunction with psychotherapy. It is generally recommended for people who have trouble quitting smoking, or for those who suffer from severe depression.

Medications are often used to treat depression and anxiety disorders. There are many different medications that can help with these conditions including:

  • Antidepressants (such as Prozac)
  • Tricyclic Antidepressants (such as Elavil)
  • Selective Serotonin Reuptake Inhibitors (SSRIs) such as Celexa and Lexapro; Wellbutrin; Paxil etc…

The amount of medication prescribed for each individual depends on his or her mental health needs and response to treatments. A doctor will closely monitor a person’s progress as he or she goes through treatment to determine when additional treatment may be needed.

The amount of medication prescribed for each individual depends on his or her mental health needs and response to treatments. A doctor will closely monitor a person’s progress as he or she goes through treatment to determine when additional treatment may be needed.

When prescribing medication, doctors will also consider:

  • The patient’s age, sex and overall physical health status;
  • The severity of symptoms;
  • Previous clinical experience with particular medications;
  • Other medical conditions the patient has (such as diabetes);
  • Side effects associated with medications used in EMDR therapy such as drowsiness or dizziness if they occur while taking this drug

Treatment plans should be tailored to each patient’s needs, while using medication in tandem with therapy will have the most positive effects on mental health recovery

The approach to treatment should be tailored to each patient’s needs, while using medication in tandem with therapy will have the most positive effects on mental health recovery. The use of medications can also be used in conjunction with psychotherapy. Psychotherapy helps people work through upsetting events that occurred in their lives and reduce their risk of developing depression or anxiety disorders by helping them cope better with stressful situations and adjust their behavior accordingly

Conclusion

It is important to remember that treatment plans should be tailored to each patient’s needs, while using medication in tandem with therapy will have the most positive effects on mental health recovery.

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