Kel is a 42-year-old certified public accountant (CPA)

Nursing homework Help

Situation:

Kel is a 42-year-old certified public accountant (CPA) who goals annually that she’s going to board a cruise ship the day after Tax Day and go someplace, anyplace, besides Portsmouth, Virginia. Annually the dream, just like the ocean, ebbs and flows, however this yr she is not even going to consider such a “ridiculous thought.” In truth, she doesn’t even have the vitality to dream; getting away from bed and making ready to go to work is just too labor intensive.

Every night Kel retires to mattress with a lack of vitality to finish her regular duties equivalent to readying her garments for work and making a lunch. She lacks the vitality to buy within the night; consequently, she eats principally crackers and canned soup. She is not hungry, and her scale displays this. She has misplaced 15 kilos over the past 2 months. She doesn’t attend to her make-up or garments; Kel goes to mattress each evening feeling too drained to do regular issues like get her garments prepared for work and make a lunch. She is too drained to buy groceries within the night, so she principally eats crackers and soup from a can. The quantity on the size reveals that she is not hungry. Within the final two months, she has misplaced 15 kilos. She does not care about her garments or make-up; she finds each too taxing. The garments she selects are drab and never ironed. At work she makes no effort to speak together with her co-workers and doesn’t provoke new contacts with purchasers. The conventional work of submitting taxes and writing stories, which she used to take pleasure in, are overwhelming, and she or he feels too disorganized to finish them. Phone calls and e-mail messages from buddies are ignored. Attendance at work is spotty.

Sue, her sister, turns into alarmed with Kel’s unanswered phone calls and e-mails. Nervous, she decides to go to her sister at residence. She finds the residence unclean and in disarray. Kel is unkempt, matted, and appears unhappy. Her voice is monotone and flat. Kel tells Sue that she feels “unhappy and hopeless. Nothing is ever going to vary. I’m a unhealthy particular person and I can’t even do my work proper. Though I sleep for a lot of hours, I’m nonetheless drained on a regular basis.” Sue is alarmed on the adjustments in her sister and arranges for Kel to go to a well being care employee on the medical clinic.

Keep in mind to reply these questions out of your textbooks and NP tips. Always, clarify your solutions.

Describe the presenting issues.
Generate a major and differential analysis utilizing the DSM5 and ICD 10 codes.
Formulate and prioritize a remedy plan.
Determine and talk about acceptable screening devices for a affected person who has suicidal ideation.
Submission Directions:

not less than 500 phrases ( 2 full pages of content material) formatted and cited in present APA type 7 ed with Help from not less than three tutorial sources which have to be journal articles or books from 2018 to date. NO WEBSITES allowed for reference entry. Embody doi, web page numbers, and so on. Plagiarism have to be lower than 10%.