The case study involved a female patient aged 52 who had several health conditions, including asthma, chronic obstructive pulmonary disease (COPD), tobacco use, arthritis, bipolar disorder, and schizophrenia. According to Duffy and Criner (2019), COPD can significantly harm the patient’s physical and mental health. Throughout the interview, the patient managed to maintain appropriate eye contact and converse despite her concerns about her daughter being kept captive and someone injecting her chest. The patient showed disordered cognitive patterns, poor insight, and poor judgment concerning her present state, likely made worse by her escalating delusions and paranoia. The patient said she did not drink but admitted smoking a pack of cigarettes daily. According to her relatives and a close friend, she had not been taking her medication as directed, and they were concerned about her deteriorating delusions and paranoia. Successful drug adherence depends on involving patients and the healthcare team, and interventions like in-person counseling, electronic reminders, and limiting side effects (Bombard et al., 2018).
The patient complained of pain in her left leg and increased tiredness, which was evaluated and treated accordingly. She was given a prescription for Olanzapine 20 mg at bedtime and directed to physical therapy to treat her generalized discomfort and improve mobility in addition to a smoking cessation support group. From the available information, the patient’s diagnosis is most likely a combination of a physical health illness such as COPD and a mental health disorder like bipolar disorder and schizophrenia. She will also continue to get psychotherapy for her psychosis and take Divalproex 125 mg and Chlorpromazine 75 mg at night. The patient’s symptoms, such as disorganized thought content, decreased insight, and poor judgment, are compatible with the diagnosis given per her medical history.
Additionally, according to her relatives and friends, she had not been taking her medication as directed. The medical team devised a strategy that included medication to assist in controlling her symptoms and physical and psychological therapy. This strategy is customized to her particular requirements and will likely enhance her general health and well-being.
References
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., … & Pomey, M. P. (2018). Engaging patients to improve quality of care: a systematic review. Implementation Science, 13(1), 1-22. https://link.springer.com/article/10.1186/s13012-018-0784-z
Duffy, S. P., & Criner, G. J. (2019). Chronic obstructive pulmonary disease: evaluation and management. Medical Clinics, 103(3), 453-461. https://www.medical.theclinics.com/article/S0025-7125(18)30170-6/fulltext
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