Directions: Read the case study and type using 12 fonts directly into the rubric. Save the document, print it and submit to your clinical instructor (turn in to secretary) when due (see course calendar).
Darlene, age 62 years, has been admitted to the local psychiatric facility for inpatient treatment of depression. She became severely depressed when her son experienced a traumatic brain injury sustained in an automobile accident 6 years ago. Since her son’s accident, she has neglected to pay her bills on time, has difficulty sleeping and difficulty concentrating, has lost interest in eating, and has lost 30 pounds during the last year. She is complaining of frequent headaches, generalized pain and malaise. She no longer attends the weekly sewing club due to a lack of interest and energy. Her husband of 40 years divorced her 2 years ago.
Her home needs repairs, and she says she feels overwhelmed with completing the maintenance required. She expresses feelings of helplessness. She states that she “is alone and no one cares.” Darlene reports that she often sits alone at night watching television and sips on a can of beer.
She has been noncompliant with pharmacologic antidepressant therapy, which has led to her admission to an acute care psychiatric setting. She hardly makes eye contact, slouches in her seat and wears a blank but sad expression. She says to you, “this feeling of depression is the worst thing I have had to go through since my son’s accident. I will never go through this again. I guarantee you this will be my last episode of depression.” “My mother suffered from depression and it destroyed our family.”
The physician has indicated that if Darlene does not respond to medication over the next 2-3 days, he will order ECT. Darlene has a history of hypertension but has not been taking medication. On admission her pulse is 98, Temperature