What were you hoping to achieve when you make the decision

Question

Problem

Case study

46 year- old white male work as a welder at a local steel fabrication factory. Referred by his PCP after a trip to the emergency room wherein he felt he was having a heart attack. Patient reported he felt chest tightness, feeling of impending doom, with SOB. Patient with history of mild hypertension. EKG at the ER was normal. MI was rule out. Physical exam within normal limit. Patient report he takes 3-4 bears each night. Patient report harsh management at his place of employment. HAM-A yields a score of 26

Patient mental status AAOx3, speech clear, coherent and goal directed. Patient mood is bleh and felling nervous.

Select what decision

a) Begin Paxil 10 mg po daily
b) Begin imipramine 25 mg po BID
c) Begin Buspirone 10 mg po BID

Give brief explain and summarize the case for the assignment - please answer give a brief summarize of the case study above

Part I

i. What decision will you select?
ii. Why you select this decision? Support response with specific clinical resources/primary literature
iii. Why did you not select the other two options provided in the exercise?
iv. What were you hoping to achieve when you make this decision?
v. Explain ethical considerations that may impact your treatment plan and communication with this patient. Provide specific examples.

Part II

i. What decision will you select?
ii. Why you select this decision? Support response with specific clinical resources/primary literature
iii. Why did you not select the other two options provided in the exercise?
iv. What were you hoping to achieve when you make this decision?
v. Explain ethical considerations that may impact your treatment plan and communication with this patient. Provide specific examples.

Part III

i. What decision will you select?
ii. Why you select this decision? Support response with specific clinical resources/primary literature
iii. Why did you not select the other two options provided in the exercise?
iv. What were you hoping to achieve when you make this decision?
v. Explain ethical considerations that may impact your treatment plan and communication with this patient. Provide specific examples.