This article is an example essay on Angela Cortez iHuman case study. Study it to learn how to write iHuman case study essays and gain insights into how you can get expert Angela Cortez iHuman case study essay writing help.
Angela, a 17-year-old girl, has been experiencing significant weariness for the last two months. Angela has recently gained weight. She also has a rise in irritation and tearfulness. Angela describes herself as usually exhausted and uninterested in everyday tasks. She is fat and has minor acne, and she expresses dissatisfaction with her appearance. Angela now denies any suicidal thoughts.
Angela Cortez iHuman Case study Example Essay 1
Angela looks to have a teenage depressive disorder, according to the results of the evaluation. However, lab tests must be completed to rule out any other possible causes of her symptoms. Angela’s exhaustion and lack of energy have been investigated with a full blood count, thyroid investigations, and a heterophile antibody test to see if there is a pathological cause. Angela’s CBC results were normal, ruling out acute infection as the reason for her symptoms.
Thyroid tests are also within normal ranges, excluding thyroid dysfunction as a possible source of symptoms. Because of Angela’s age and symptoms, a heterophile antibody test should be performed to rule out mononucleosis as the origin of her symptoms. Mononucleosis was ruled out when this test came out negative. To rule out pathological reasons for Angela’s symptoms, a urine cortisol test was performed. This test came back within normal parameters.
A urine drug sample is recommended due to Angela’s personality changes and agitation. All substances were found to be negative in this test. Angela acknowledged having had sexual relations with her ex-boyfriend, thus a pregnancy test is necessary. A pregnancy test came back negative.
Angela is somewhat overweight and has a family history of diabetes. Fasting blood sugar and haemoglobin A1C levels should be tested. Angela’s blood sugar levels and haemoglobin A1C levels are normal. The healthcare professional may safely begin treating Angela for the teenage depressive disorder after ruling out pathological causes for her symptoms. Angela will need a mix of medication and psychotherapy.
Angela should start taking an SSRI (selective serotonin reuptake inhibitor) (NIMH, 2018). The first-line antidepressant is an SSRI (NIMH, 2018). SSRIs are prescribed because they have few negative effects and are less likely to cause people to overdose (NIMH, 2018). An SSRI called fluoxetine has been demonstrated to be particularly beneficial in children and adolescents (NIMH, 2018).
Pharmacotherapy and psychotherapy should be utilized together. Angela should be hired as a security guard (NIMH, 2018). A contract for safety is a document signed by the patient and the healthcare professional that states the patient will not injure themselves or commit suicide (NIMH, 2018). The most effective treatment for teenagers with depression is a mix of medication and psychotherapy (NIMH, 2018).
Angela Cortez iHuman Case study Example Essay 2
Describe the assessment instrument and why it is important in the management of teenage patients.
PHQ-A is a self-administered test that examines anxiety, eating, mood, and drug use problems in adolescent primary care patients. Due to the increased risks of this age group and the necessity to test for and manage/treat mental health issues, it is critical in this demographic.
Use the results from scientific research publications to discuss the validity and reliability of this assessment instrument.
The results, according to the Journal of Adolescent Health, corroborate the PHQ-diagnostic A’s validity. The prevalence rates of anxiety, eating, mood, and drug use disorders were estimated similarly using the PHQ-A and the clinical interview. When compared to the clinical interview, the PHQ-A had acceptable sensitivity, specificity, diagnostic agreement, and overall diagnostic accuracy.
Primary care providers may utilize the PHQ-A to help diagnose mental illnesses in their adolescent patients. The PHQ-A is the first instrument of its kind to be evaluated in adolescents, and it provides an accepted and effective method for detecting and recognizing mental problems in this high-risk population.
Apply this technique to a patient’s circumstance and describe your thoughts on the outcome.
Angela’s current symptoms and mood and behaviour changes were assessed using the PHQ-9 Modified for Adolescents PHQ-A. She has Depressive Disorder, scoring 19 on the PQH-9, based on her replies to the questionnaire and patient interview. For the previous two weeks, more than half of her replies scored a 3 in the virtually every day category for moods, hunger, interests, and focus.
Describe a treatment strategy for the patient based on the findings.
The following is the client strategy, according to the American Family Physician. Angela will be sent to a psychiatrist for teenage depression treatment that will include both psychotherapy and medicines. She will be started on a selective serotonin reuptake inhibitor (SSRI) as a first-line treatment, with titration over many weeks.
Treatment of teenage depression with SSRIs and cognitive-behavioural therapy (CBT) has been shown to be successful. The American Family Physician agrees, adding that the PHQ-A, a nine-item screening instrument, is more sensitive in adolescents than in adults.
The following steps are also included in the first management plan:
- Discuss typical pharmaceutical adverse effects with the client and family, including black box warnings and the risk of suicide.
- Determine the patient’s risk of suicide. Make a no-suicide agreement. Inquire about the presence of guns in the house and their accessibility.
- Provide depression education and information.
- Referral to a nutritionist for advice on a healthy diet and physical exercise.
- Assess management and treatment with your PCP.
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- Gardner, W. (2014). Screening for Mental Health Problems: Does It Work? Journal of Adolescent Health,55(1), 1-2. doi:10.1016/j.jadohealth.2014.04.019
- Ham, P., MD, & Allen, C., PhD. (n.d.). Adolescent Health Screening and Counseling. American Family Physician,86(12), 1109-1116.
- Johnson, J. G., PhD, Harris, E. S., MD, & Williams, J. B., DSW. (n.d.). The patient health questionnaire for adolescents: Validation of an instrument for the assessment of mental disorders among adolescent primary care patients. Journal of Adolescent Health,30(3), 196-204.
- National Institute of Mental Health. (2018). NIMH: Antidepressant Medications for Children and Adolescents: Information for Parents and Caregivers. Retrieved from https://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/antidepressant-medications-for-children-and-adolescents-information-for-parents-and-caregivers.shtml