SOLVED592

Students will take the following Case Study and Put it in SOAP Notes. Ms. Smith is a 35-year-old female who presents with complaints of fatigue, difficulty sleeping, and low mood. She reports feeling down and hopeless for the past few weeks and has lost interest in activities that she used to enjoy. She denies any suicidal ideation but reports feeling like “life isn’t worth living.” She reports no significant medical history or medications. On examination, Ms. Smith appears tired and sad. Vital signs are within normal limits. Neurological exam is normal. Physical exam is unremarkable. Ms. Smith is likely experiencing major depressive disorder given her symptoms of low mood, anhedonia, and hopelessness. However, further assessment is needed to rule out any underlying medical conditions that may be contributing to her symptoms. Recommend that Ms. Smith undergo a complete physical examination and laboratory work-up to rule out any underlying medical conditions that may be contributing to her symptoms. Refer her to a mental health professional for further assessment and treatment of major depressive disorder. Consider medication management and psychotherapy to manage her symptoms.
SCIENCE
HEALTH SCIENCE
NURSING

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