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Treatment Modality Used and Efficacy of The Approach Essay (Case Study Sample)


This was a nursing case study presenting the condition of a patient and necessitating the student to diagnose him and provide remedy to the condition. There were subtopics that required filling ; THese are in bold. THe sample presents the Treatment modality used and efficacy of the approach. Other subsections have also been filled


Nursing Theory
Treatment modality used and efficacy of the approach
The treatment modalities used include medication and cognitive-behavioral therapy. In major depressive disorder, cognitive behavior therapy tends to be the most frequently applied and evaluated psychological treatment (Lopresti 565). Mrs. Beno is suffering from a major depressive disorder, while Mr. Beno has a mood disorder relapse. The category of medication prescribed is antidepressants, referred to as SSRIs. These will function by balancing chemicals in the brain, referred to as neurotransmitters that impact emotions as well as mood. The patient will improve the mood, concentrate and sleep better, manage complex relations, and typically face other life challenges.
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
Mrs. Beno complained that she had been feeling hopeless all the time, even in petty issues, and her angry outbursts scared people around her. She had also lost interest in almost everything, particularly the hobbies. The goal is to help Mrs. Beno develop feelings of worthiness, sleep well since she complained of having insomnia, concentrate well, and deal with the feelings of guilt. To deal with her depression, Mrs. Beno has been draining herself in excessive drinking, which could be one of the conditions that are affecting Mr. Beno's mood. At first, Mrs. Beno did not show any progress and did not believe that her condition could improve. However, after therapy, she was more optimistic about life, slept better, and felt worthy.
Modification(s) of the treatment plan that were made based on progress/lack of progress
Even after therapy, Mrs. Beno did not stop drinking. Typically, the drinking condition was worsening, which was a way of dealing with depression. So I recommended that she join a social support group for people with a drinking problem. Within a short span of time, though strugling, she had stopped drinking. Social aspects that impact people’s social identity tend to strongly condition the health of their mind and body (Jetten 7890).
Clinical impressions regarding diagnosis and or symptoms
A blood test was conducted to check for mental illness such as depression. It also helped to check other illnesses such as anemia in order to come up with a conclusive diagnosis. Nonetheless, laboratory tests were not very beneficial in checking for depression. Indeed, the most crucial diagnostic, too, was talking to the patient. Mrs. Beno gave various symptoms of depression, such as loss of concentration, lack of sleep, extreme sadness, and anger, as well as the constant feeling of hopelessness. She was also convinced that she was going through depression and said that she was tired of feeling worthless all the time.
Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
Mr. Beno cheated on Mrs. Beno two years ago, and this is where problems started in their marriage. However much they wanted to make the marriage work, the misunderstandings were too many. These arguments affected the children, and they got stressed too.
Safety issues
The house of the patients has also been broken into twice, and Mrs. Beno stated that she has not been feeling safe in the house. She has had panic attacks twice while in the house, which she said was due to fear. This aspect has also highly contributed to severe depression.
Clinical emergencies/actions taken.
Due to the excess alcohol intake followed by the feeling of worthlessness, Mrs. Boni said that she has had suicidal thoughts from time to time. She does not want to be alone at any given point because of the fear that she could attempt it.
Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
The use of antidepressants is a considerable treatment for major depressive disorder, particularly in the Western world and typically increasing in various other nations (Jakobsen 130). The medications used by Mrs. Beno were antidepressants referred to as SSRI. The medication is Fluoxetine. In most cases, the medication is used in the treatment of obsessive-compulsive disorder as well as depression. Considering Mrs. Beno's severe depression, this medicine was accurate. The prescription tends to have fewer unwanted impacts compared to other antidepressants. Mr. Beno was also put under valproic acid for mood stabilizing.
Treatment compliance/lack of compliance
Mr. Beno was not willing to take medicine. He said that he could handle the condition without having to take medication. However, it was insisted that he was to adhere to the prescription, something that he did not do. Personal and group counseling was also recommended, but the patients did not come for group therapy for the most part.
Clinical consultations
Clinical consultation entailed the appropriate prescription for the patients considering their conditions. The doctor recommended an SSRI saying it would be a safer treatment because the negative side effects were minimal.
Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists) The therapist’s recommendations, including whether the client agreed to the recommendations
I collaborated with a marriage therapist in this treatment. The recommendation was that the couple was supposed to be more open to each other and communicate more in dealing with depression. Marriage counseling played a great role in the recovery of patients.
Referrals made/reasons for making referrals.
A referral was made to a marriage counselor. This is because the marriage was on the verge of breaking, but the couple still wanted to make it work despite the issues that they were going through. Due to the lack of marriage counselor expertise, the couple was referred to an experienced therapist in that field.
Termination/issues that are relevant to the termination process (e.g., the client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Such issues were not present. The client was paying cash for the services.
Issues related to consent and/or informed consent for treatment
The patients had been through a lot and were willing to undergo treatment, particularly Mrs. Beno. She said that she did not want

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