Case Study: Fatigue and Irritability in a 48-Year-Old Female, Exams of Nursing

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CAMILLA FRANKLIN’S I HUMAN CASE STUDY WEEK 10

EXPERT REVIEW OF A 48 YEAR OLD WITH FATIGUE

AND IRRITABILITY ACTUAL SCREENSHOT OF THE CASE

ALL

PAGES (history and physical ) ACTUAL CASE STUDY BY

EXPERT FEEDBACK LATEST A+

History How can I help you today? Do you have any other symptoms or concerns we should discuss? Do you have any allergies, such as medications, food and / or latex, for example? Are you taking my prescription medications? Are you taking any other the counter or herbal medications? Can you tell me about any current or past medical problems you have had? Any previous medical, surgical, or dental procedures? Do you now or have you ever smoked or chewed tobacoo? Have you had any contact with other sick people? Are you sexually active? Do you Experience: Chest pain discomfort or pressure; pain/pressure/dizziness with exert on or geng angry; palpitaon; decreased exercise tolerance; blue/cold ngers or toes? Do you have any of the following: dizziness, fainng, dpinning rom, seizures, weakness, numbness, ngling, tremor? Do you have any of the following problems: fague, diculty sleeping, unitenonal weight-loss or gain, fevers, night sweats? How high was your fever? When you unrinate, have you noced: pain, burning, blood, difficulty staring or stopping, dribbling, inconence, urgency during day or night or any changes in frequency? How severe (1-10) is the pain in your chest? Do you have any pain in your chest?

Introduction Camilla Franklin, a 48-year-old female, with complaints that can be described to be a plethora of symptoms which are fatigue and irritability. Symptoms described above have affected her in various ways in the performance of her daily activities and general wellbeing. When considering the fact that a growing number of people register similar complaints, it is essential to establish the causes and possible diagnosis. Tiredness and temper are some of the most vague symptoms that may have numerous origins related to an individual’s physical or psychological state or their life regimen. Explanation It is in this context that this case study will present an assessment of Camilla Franklin’s state of health with particular focus on causes, diagnostic tests, and treatment of her condition in order to inform a more comprehensive understanding of the situation that Camilla Franklin is facing. Case Study Lately for the past six months, for instance, Camilla Franklin has been extremely tired frequently getting irritated. Her fatigue stands for the condition where the girl is constantly tired, does not experience any relief even if she is to rest while her irritability can be described as sudden changes of her mood and emotional fragility where she cannot handle stress. All these symptoms have affected her in the workplace and at home making her less productive at workplace and strained family relationships at home.

Medical History There are no chronic diseases or significant past medical history reported with Camilla. However, she had some episodes of remitting mild depression in the past which were treated with short term therapy. There are no issues regarding allergy that can be identified and she is on current medication such as oral contraceptive pill and multivitamin. She specifically states she has not made any alterations to her medications and/or diet very recently. Lifestyle and Environmental Factors A review of Camilla’s lifestyle shows that she earns her income as a corporate employee who executes day to day duties as a manager and hence suffers from work-related stress. Her tryptophan balance is disrupted and gets an average of 5-6 hours of sleep per night, although she indicated that the quality of her sleep was poor and she experiences frequent awakenings. Explanation Though, she has a healthy meal plan, the needed nutrients are missed occasionally because Camilla has a packed schedule. She equally takes little or no part in any physical activity. Diagnostic Approach In this case, only its diverse approach is required in making a diagnosis about the cause of Camilla’s symptoms. Initial assessments should include:

Laboratory Tests: Blood tests that would show that a person is anemic, has a malfunctioning thyroid gland, may lack some vitamins among others. Psychological Evaluation: reening for depression, anxiety conditions and all other mood disorders. Sleep Assessment: Assessment for the possible presence of sleep disorders and whether or not a person is suffering from insomnia, sleep apnea and so on. Lifestyle Review: Stress and its influence on the health of an employee in relation to his or her job. Potential Diagnoses Several potential diagnoses could explain Camilla’s symptoms:Several potential diagnoses could explain Camilla’s symptoms: Chronic Fatigue Syndrome (CFS): It is an illness that is described by constant tiredness without any apparent cause. Depression: May be attributed to the development of fatigue and entities associated with irritation. Sleep Disorders: Sleeping problems result to exhaustion during the day and fluctuation in mood. Thyroid Disorders: It could likewise provoke complaints referring to fatigue and changes of mood since hypothyroidism may be encountered. Management Strategies Camilla’s care plan should incorporate the use of medical practitioners, other carers and professionals as well as focal points of physical and psychological treatment. Recommendations may include:

Medical Treatment: Depending on the diagnosis, treatment may include thyroid drugs or supplements for deficiencies and in severe cases antidepressants. Lifestyle Modifications: Adhering to having proper bed and eating habits also means avoiding stressful work before going to bed and regularly exercising. Psychotherapy: CBT may address existing psychological problems, like anxiety and depression in cases of alcohol dependence as a result of their poor mental health. Explanation Thus, focusing on the rather complex nature of the client’s symptoms allows for enhancing the quality of her life and bringing balance into her everyday functioning. In evaluating such symptoms as fatigue and irritability, Camilla Franklin provides an example of multitude of factors that could occur in a woman with postpartum depression. The psychological, medical, and lifestyle examination is fundamental to creating an efficient intervention strategy.