You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions with J.B, an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been aver- aging 250mg/dL or higher for the past several months. During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instruc- tions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss and the loneliness he has been feeling. He tells you he just doesn't feel good lately, feels sad much of the time, and hasn't been involved in his normal activities. He has few friends left in the community because most of them have passed away. He has a daughter in town, but she is busy with her work and grandchildren. He also tells you that he has been feeling so down the past few months that he has had thoughts about suicide.

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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1. what immediate intervention would you carry out for J.B?
2. Identify two treatments that are available for depression
3. would JB be a candidate for electro convulsive therapy? why or why not
4. why do you think that a drug in the SSRI class was chosen over a tricyclic antidepressant or a monoamine oxidase inhibitor?
5. what important information needs to be conveyed to JB's daughter about the first few weeks of therapy with a SSRI

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You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions with
J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been aver-
aging 250mg/dL or higher for the past several months. During this admission, his dosage of insulin was
adjusted, and he was given additional education in managing his diet. While you are giving these instruc-
tions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss and the
loneliness he has been feeling. He tells you he just doesn't feel good lately, feels sad much of the time, and
hasn't been involved in his normal activities. He has few friends left in the community because most of them
have passed away. He has a daughter in town, but she is busy with her work and grandchildren. He also tells
you that he has been feeling so down the past few months that he has had thoughts about suicide.
1. What other information chould
Transcribed Image Text:Page of 3 ZOOM Scenarlo You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been aver- aging 250mg/dL or higher for the past several months. During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instruc- tions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss and the loneliness he has been feeling. He tells you he just doesn't feel good lately, feels sad much of the time, and hasn't been involved in his normal activities. He has few friends left in the community because most of them have passed away. He has a daughter in town, but she is busy with her work and grandchildren. He also tells you that he has been feeling so down the past few months that he has had thoughts about suicide. 1. What other information chould
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