The case of urinary tract infection # 2.
- How many of the signs and symptoms that you have read could be evidence of depression?
- How can you assess Eugene’s baseline functional status?
- What strategies of coping does Eugene employ?
- Who are Eugene’s support system, and how can they help him?
- When Eugene speaks, what signs of anxiety can you detect?
- What are Eugene’s strengths and weaknesses?
Case Study: Eugene
Eugene is a 63-year-old man who is being admitted to the inpatient psychiatric unit after presenting to the emergency department with complaints of feeling “overwhelmed and anxious.” According to Eugene, he has been experiencing a lot of stress and has been feeling down for the past several months. He complains of difficulty sleeping, decreased interest in his favorite activities, and an overall lackluster mood. Eugene had a long history of drinking and is now sober. He has also had a history with hypertension, and is on medication to treat it.
- What signs do you see that might indicate depression? Some of the evidence that may be indicative of depression includes Eugene’s complaints of feeling “overwhelmed and anxious,” difficulty sleeping, decreased appetite, and a lack of interest in activities that he used to enjoy.
- How can you assess Eugene’s baseline functional status? Assessing Eugene’s baseline functional status can be done by taking a detailed history of his activities of daily living (ADLs), instrumental activities of daily living (IADLs), and social and occupational functioning. Assessing his self-care abilities, including bathing, dressing, grooming and managing household tasks, transport, and finances can be included. Assessing his social network, his occupational history and his recreational activities will also provide valuable information on his functional level.
- What strategies of coping does Eugene employ? From the provided information, it is unclear what coping strategy Eugene utilizes. In a more comprehensive evaluation, it would be helpful to explore the strategies he used previously and now for managing stress.
- Who are Eugene’s support system, and how can they help him? It is not clear from the information provided who Eugene’s support system is. In a complete assessment, it is important to identify Eugene’s support system. This can be family members, close friends, local resources and mental health practitioners. He can be helped by his family and friends, who will provide emotional support, help with everyday tasks, as well as access to resources that manage mental health.
- When Eugene speaks, what evidences of anxiety can you pick up? Eugene’s complaints of feeling “overwhelmed and anxious” are evidence of anxiety.
- What are Eugene’s strengths and weaknesses? Eugene’s strengths and weaknesses are not clear from the information provided. In a more comprehensive evaluation, it is important to explore his strengths, weaknesses and co-occurring conditions.