1. R.J. is a 77-year-old man who has been referred for care for refractory depression. Hi. Question
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1. R.J. is a 77-year-old man who has been referred for care for refractory depression. His wife died of cancer 2 years ago, and through the course of her illness and death, his family recognized that he seemed depressed. After his wife’s death, his primary care provider tried two different antidepressant medications, and while his mood has improved a bit, his family says he is increasingly “forgetful.” It started out as relatively innocuous things like forgetting where his keys are or forgetting to return a phone call or mail in his monthly bills. His daughter became worried when she went to visit him last weekend and found that he had forgotten how to write check. He considers himself an otherwise healthy man with a medical history significant only for hypertension, dyslipidemia, and type 2 diabetes. He takes medications for these and feels physically fine. The PMHNP recognizes that R.J. is exhibiting signs and symptoms consistent with:
Major depressive disorder
Mild cognitive impairment
Vascular dementia
Delirium
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1. R.J. is a 77-year-old man who has been referred for care for refractory depression. Hi
