SHADOW HEALTH DEPRESSION Questions and Answers(Actual exam questions/frequently tested questions and answers)100% Verified

Chief Complaint Ms. Abigail Harris is an 86-year-old African American woman who presented in the ED with weakness and fatigue. History of Present Illness Reports weakness and fatigue for last month, increasing over last 7 days. Ms. Harris is occasionally unable to get out of bed in the morning. The timing of fatigue is every morning. Reports that her fatigue is somewhat alleviated by lying down, and that she has slightly more energy in the afternoon. No known triggers. Reports feeling guilty about appearance and lack of social interaction last two weeks. Reports not leaving her house much. She reports a depression diagnosis, and her current depression screening shows her positive for moderate depressive symptoms. Allergies NKA/NKDA Past Medical History Hypothyroidism age 50 DM Type II age 50 Depression age 81 Previous hospitalization (36 years ago) for fatigue and weight loss related to DM II and hypothyroidism Past Surgical History No previous surgeries. Medication History Insulin aspart: 16 units, SC, TID mealtimes Insulin glargine: 45 units, SC, daily Levothyroxine: 50 mcg, P.O., daily Venlafaxine extended-release (Effexor XR): 150 mg P.O. daily Zolpidem: 5 mg, P.O., PRN at bedtime Family History No family history of mental illness. Social History Occupations: Retired high school English teacher. Marital Status: Widowed; husband died six years ago. Substance Use: Never used tobacco. Drinks one alcoholic beverage less than once a month. Religion: Christian (Non-denominational). Her son is her primary caregiver and helps her manage medications, including refilling and picking up prescriptions and ensuring she is complaint. Ms. Harris reports that her depression started after the loss of her husband. Since then, she has moved in with her son and his family. Previously had organized a knitting group at her church and attended weekly, and walked most evenings for her dog and for exercise and stress management.