In analyzing the case study of Mr. Pete P., several factors become apparent. The patient is new to the dental practice, a recovering alcoholic, and suffers from anxiety, which can be assumed from a current prescription of Xanax. Anxiety disorder is a condition that affects everyday activities such as performances at work, school, and within relationships. Anxiety can be split into to three main categories including generalized, panic, and social anxiety disorder. As stated by the National Institute of Mental Health (2009), generalized anxiety disorder display excessive anxiety or worry for months and face several anxiety-related symptoms.” Anxiety disorder is long term and can worsen over time the. Generalized anxiety disorder is the traditional …show more content…
P. is currently taking baby aspirin for prevention of heart disease, a multivitamin, Ginkgo biloba, and Xanax for anxiety. At last week’s visit Mr. P was prescribed a pre-appointment anxiolytic, lorazepam and administered nitrous oxide before starting periodontal debridement. Patient indicated pain from procedure, therefore was prescribed ibuprofen. Aspirin is a nonopioid analgesic, which acts on the peripheral nerve ending to relieve to minor pain (Heaves, 2015). The pharmacological effects of aspirin include anti-inflammatory, antiplatelet, antipyretic, analgesic. Bayer Aspirin Regimen Adult Low Strength and St Joseph Adult Aspirin are two brand names that aspirin is available in over the counter. Aspirin in low concentration can be used for prevention of cardiovascular disease (Lexicomp, 2016). Ginkgo biloba is an herbal supplement that is commonly used for memory enhancement and treating blood disorders (Ehrlich, 2015). Nature Made and Nature’s Bounty is two over the counter brand names. Research shows that the herb may help also alleviate symptoms of anxiety in people with generalized anxiety disorder (Ehrlich, 2015). Precautions should be taken with taking Ginkgo biloba, because it can trigger and interfere with other medications and supplements. Ginkgo’s use is contraindicated in pregnant patients, epileptic, and poison ivy allergy (Nordqvist, 2015). Ginkgo biloba should not be used without speaking with your physician first because of the numerous possible drug
Understanding medications and relating them to a patient’s care is a legal requirement for the RN. Morphine an opioid analgesic is for moderate to severe pain which has respiratory suppression as the main side effect, naloxone and resuscitation equipment should be close by to reverse this effect. (Tiziani, 2013). Glyceryl trinitrate (GTN) used for chest pain, works by causing vasodilation to the blood vessels therefore increasing blood flow to the heart, the risk of repeated doses may lead to hypotension (Tiziani, 2013). Aspirin is used as an antiplatelet for Mr Jones and given for a suspected myocardial infarction (MI) due to plaque that may have broken away within a coronary artery and formed a blood clot that leads to a blockage (Tiziani,
Sedation has always been a popular method to alleviate dental anxiety. Dr. Fred Quarnstrom (1996) writes that nitrous oxide has been popular because its effects diminish quickly after application is terminated. "Patients can drive after a relatively short recovery time." It is a safe form of sedative, and "offers a major advantage when we consider an overdose. By removing the source of the drugÉthey will excrete most inhalation agents via the lungs, thus reducing the overdose" (p. 5). While this is a popular method, it is not the best method to alleviate the anxiety that many dental patients have. Dentists instead should be concerned with the working with the patient's anxiety, not simply displacing it for the duration of their visit. The three main areas that show the most promise in decreasing patient anxiety include an increased amount of interaction between dentist and patient, hypnotherapy, and improved dental technology.
The purpose of this paper is to take the case of Adrian from a DSM-IV perspective and further analyze it from a more current DSM-5 perspective. Adrian is a 39-year-old Caucasian mother of two children, a son, age 12 and a daughter, age 7. The DSM-IV case study format has given Adrian a principle diagnosis of generalized anxiety disorder and secondary diagnosis of social phobia. In the following paragraphs, this diagnosis will be discussed using the most recent DSM-5 criteria, other conditions to consider will be explored, the WHODAS and culture formulation interview will be utilized and examined and, lastly, a new DSM-5 diagnosis will be given.
Instructions: Read the following case study about a woman, Allison, who is suffering from anxiety. After you have read the case study, diagnose Allison and present some methods of treatment by answering the questions.
Many of these drugs are used temporarily to “reset one’s pain control” and are not necessary for long term use. Wallace, D. J. & Wallace, J.B., (2002)
When you get an anxiety or panic attack, life is not normal anymore. Finding the best cure for the anxiety or panic attacks is on top priority of all the patients suffering from anxiety or panic attacks. The first source of information for most patients is got from their family and friends. If the patients don't get any substantial information from their family and friends, then they turn toward doctors or other medical professionals. Many people don't like to go to the doctor for various reasons.
Anxiety is an emotional state commonly cause by the perception of real or perceived danger that threaten the security of an individual. It allows a person to prepare for or react to environmental changes. (cite) Everyone have experienced some type of anxiety. These experiences have a certain amount of nervousness and apprehension when faced with a stressful situation. There is no one cause for anxiety disorders. Several factors can play a role such as genetics, brain biochemistry, overactive fight or flight responses can be caused by too much stress.
Anxiety is the most common mental health disorder in the United States and women are over twice as likely to suffer from anxiety than men (Kessler et al., 2005). The symptoms of anxiety can be life disrupting; affecting personal and professional relationships, sleep, appetite, health, and overall quality of life. The causes of anxiety seem ever-present and there is no indication the situation is going to improve in the immediate future. Global politics, war, domestic terrorism, rising health care costs, and economic instability are but a few of the surfeit anxiety causing stressors individuals must endure while also managing daily pressures of everyday life.
Having generalized anxiety is more than just a reaction one experiences during stressful times. Rather, it is a feeling of constant paranoia, of constant fear, that takes over your daily routines and every day life. Anxiety is more than being anxious about an upcoming midterm, of an upcoming speech or presentation – it is having mental breakdowns, panic attacks and obsessive thoughts that consume your imagination, your thoughts. Generalized anxiety and obsessive-compulsive disorder (OCD) preludes into something greater than living in constant fear of either contracting an illness or being contaminated by germs. They act as inhibitors, preventing healthy wellbeing, positive emotions and healthy relationships. While OCD and anxiety play a huge
According to the Anxiety and Depression Association of America, roughly 40 million American adults suffer from one form of anxiety disorder or another, with only about one-third of those sufferers getting treatment despite the fact that many of disorders can be treated with pharmaceutical drugs. For example, selective serotonin reuptake inhibitors (SSRIs) like Prozac and Zoloft are two of the most common forms of drugs used to treat anxiety-related disorders, along with tranquilizers such as such as Valium and Xanax. Not always effective, these drugs can have adverse effects and tranquilizers can be extremely addictive. These factors have created a void for alternative forms of treatment, and this is where cannabis comes into play. The non-psychoactive
Ginkgo is one of the oldest tree species that are alive and the leaves are one of the most studied leaves in clinical settings today. Ginkgo Biloba is an herbal form of medicine and in Europe and The United States is one of the biggest sellers. Many traditional medicines contain Ginkgo and are used for enhancing memory and to treat circulatory disorders. Scientific studies all support and validate these claims. Newer evidence shows that Ginkgo might very well be effective in treating decreased blood flow to the brain, especially in the elderly. There are two types of chemicals in Ginkgo leaves, flavonoids and terpenoids, which are thought to have very strong antioxidant properties resulting in aiding those who have Alzheimer's disease.
Hanna was referred by her GP, because she has been experiencing some anxiety difficulties. Client reports that she began to have anxiety five or six years ago. Reportedly, she recently moved out of her parents’ home and this may have caused the anxiety to escalate. This is the first time client has moved away from her parents.
A Psychology disorder known as anxiety disorder, is the most common in the United States. In a result of, 18% of 40 million people suffers from anxiety. However, there are six different types of anxiety disorders in the results of stress, depression, social interaction, obsessive compulsive, and phobia. Which characteristic functions as a natural part of life, that can be treated thought several methods.
The standardized extract of Ginkgo biloba EGb 761® is an herbal remedy, most extensively used for dementia and cognitive impairment and it is one of the best classified extracts (DeFeudis FV, Drieu K. 2000). This standardized extract contains 24% flavanol hetrosides and 6% terpenes (ginkgolide biolobalide) and is marketed in Europe as Rokan® and Tanakan® (Porsolt et al.,1990). Having a lower molecular weight EGb 761 can cross blood brain barrier and produces various pharmacological effects on central nervous system (DeFeudis FV, Drieu K. 2000). In recent studies it is seen that Ginkgo biloba extract (120-600 mg) enhances to some extent many cognitive processes in healthy young individuals as well as old aged individuals suffering from impaired cognition (Silberstein et al., 2011). In spite of being easily tolerated it shows mild side effects in humans such as allergic reactions, GIT disturbances, nausea, headache, dizziness, heart palpitation, restlessness, and weakness whereas LD-50 ranging from 1100-7725 mg/kg body weight of mice or rats shows low acute toxicity (Frensin et al., 2010) .
Andy, a 38 year old man, has anti-social personality disorder. He does not like going by society’s rules. Because of this he does many things that would not be considered normal or acceptable to most